ANGELA NICOLE FAIRLESS

ASTORIA, OR
NPI1518648351
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-07-25
Last Update Date2023-07-25
Business Address
ANGELA NICOLE FAIRLESS
115 W BOND ST
ASTORIA, OR 97103-6009
Phone number: 503-325-5722
Mailing Address
ANGELA NICOLE FAIRLESS
65 N HIGHWAY 101 STE 204
WARRENTON, OR 97146-9371
Phone number: 503-325-5722