ANDREA CODY RUSSELL

TIGARD, OR
NPI1427142538
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L1143)
Enumeration Date2006-10-03
Last Update Date2007-07-09
Business Address
-- ANDREA CODY RUSSELL LCSW
7455 SW BEVELAND RD
TIGARD, OR 97223-8610
Phone number: 503-624-2600
Mailing Address
-- ANDREA CODY RUSSELL LCSW
16210 PARKER RD
LAKE OSWEGO, OR 97035-4038
Phone number: 503-675-2981