ANDRE OTIS WHITE

PORTLAND, OR
NPI1912351966
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2016-04-15
Last Update Date2016-04-15
Business Address
Mr. ANDRE OTIS WHITE
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603
Mailing Address
Mr. ANDRE OTIS WHITE
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4603