ANDREW PEGRAM

PORTLAND, OR
NPI1497238513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   professionallicense)
Enumeration Date2018-09-14
Last Update Date2023-02-01
Business Address
ANDREW PEGRAM
17720 NE HALSEY ST STE A
PORTLAND, OR 97230-6771
Phone number: 541-505-8426
Mailing Address
ANDREW PEGRAM
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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