Dr ELLEN L ANDRAE is a female medical professional, specializing in Neurology. She graduated in 2005 from University Of California, Irvine, California College Of Medicine.
PROVIDENCE HEALTH AND SERVICES OREGON
18040 SW LOWER BOONES
FERRY RD SUITE 207
TIGARD
OR
972247259
Tel: 5035375900
| Npi | 1427248202 |
| Pac Id | 0345437539 |
| Professional Enrollment Id | I20101214000989 |
| Last Name | ANDRAE |
| First Name | ELLEN |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| All Secondary Specialties | |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Group Practice Pac Id | 0648183608 |
| Number Of Group Practice Members | 1139 |
| Line 1 Street Address | 18040 SW LOWER BOONES |
| Line 2 Street Address | FERRY RD SUITE 207 |
| Marker Of Address Line 2 Suppression | |
| City | TIGARD |
| State | OR |
| Zip Code | 972247259 |
| Phone Number | 5035375900 |
| Hospital Affiliation Ccn 1 | 380037 |
| Hospital Affiliation Lbn 1 | PROVIDENCE NEWBERG MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380004 |
| Hospital Affiliation Lbn 2 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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