Gore, Andrea L

Gore, Andrea L is an individual health care provider with primary practice located at 998 Library Ct , Oregon City OR 97045-4041. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gore, Andrea L can be contacted via phone (503) 655-8401.

Contact Information

Primary practice address
998 Library Ct Oregon City OR 97045-4041
Phone: (503) 655-8401
Fax: (503) 655-8429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L5977 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 08-R-14 Oregon

Profile Details

NPI number 1174687537
LBN Legal business name Gore, Andrea L
Credentials CDP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jan 26th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174687537 NPPES
Oregon MEDICAID 164936

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