Provider Demographics
NPI:1396103610
Name:BURROWS, ADRIENNE ELIN (BA)
Entity type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:ELIN
Last Name:BURROWS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:ELIN
Other - Last Name:HARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:4585 SW 185TH AVE
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97078-1557
Mailing Address - Country:US
Mailing Address - Phone:503-746-1081
Mailing Address - Fax:
Practice Address - Street 1:4585 SW 185TH AVE
Practice Address - Street 2:
Practice Address - City:ALOHA
Practice Address - State:OR
Practice Address - Zip Code:97078-1557
Practice Address - Country:US
Practice Address - Phone:503-746-1081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist