Healthcare Provider Details

I. General information

NPI: 1225016629
Provider Name (Legal Business Name): ANDREA N BURRESS MA OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 MOUNT HOOD AVE
WOODBURN OR
97071-9099
US

IV. Provider business mailing address

PO BOX 619
DONALD OR
97020-0619
US

V. Phone/Fax

Practice location:
  • Phone: 971-983-5206
  • Fax: 971-983-5211
Mailing address:
  • Phone: 503-508-5468
  • Fax: 971-983-5211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1071057
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: