ANDRE B PRUITT

PORTLAND, OR
NPI1205988532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  3529)
Enumeration Date2007-01-17
Last Update Date2024-06-20
Business Address
ANDRE B PRUITT Ph.D., MSW
1220 SW MORRISON ST STE 730
PORTLAND, OR 97205-2226
Phone number: 503-860-1213
Mailing Address
ANDRE B PRUITT Ph.D., MSW
6926 NE 22ND AVE
PORTLAND, OR 97211-5245
Phone number: 503-860-1213