BLAINE DAVID ANDERSON

SAINT HELENS, OR
NPI1619220886
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: WA  CL60214957)
Enumeration Date2012-10-24
Last Update Date2018-04-23
Business Address
BLAINE DAVID ANDERSON MS
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
Mailing Address
BLAINE DAVID ANDERSON MS
PO BOX 1234
SAINT HELENS, OR 97051-8234
Phone number: 503-397-5211