ANDREW WIENCKEN

MILWAUKIE, OR
NPI1932513884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-06-19
Last Update Date2014-06-19
Business Address
-- ANDREW WIENCKEN
17070 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97267-4960
Phone number: 503-594-1773
Mailing Address
-- ANDREW WIENCKEN
14600 NW CORNELL RD, PORTL IS THE CEDAR MILL ADDRESS -
PORTLAND, OR 97229
Phone number:
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