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1427142538
ANDREA CODY RUSSELL
TIGARD, OR
NPI
1427142538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L1143)
Enumeration Date
2006-10-03
Last Update Date
2007-07-09
Business Address
-- ANDREA CODY RUSSELL LCSW
7455 SW BEVELAND RD
TIGARD, OR 97223-8610
Phone number: 503-624-2600
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Mailing Address
-- ANDREA CODY RUSSELL LCSW
16210 PARKER RD
LAKE OSWEGO, OR 97035-4038
Phone number: 503-675-2981
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