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Individual

HAILEY ANNE GONNERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5319 SW WESTGATE DR STE 113, PORTLAND, OR 97221-2432
(503) 956-5520
Mailing address
5319 SW WESTGATE DR STE 113, PORTLAND, OR 97221-2432
(503) 956-5520

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R6906
OR

Other

Enumeration date
01/10/2023
Last updated
01/10/2023
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