CHARLIE IRENE ANDRADE
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1275209181- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 912 NE KELLY AVE # 100C, GRESHAM, OR, 970305629
- Phone
- (503) 912-5502
Specialties & Taxonomies
Behavior Technician
Primary License: OR