Individual
GUADALUPE CLEMENTINA GABBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6400 SE LAKE RD STE 155, PORTLAND, OR 97222-2137
(971) 368-9292
(503) 917-4971
Mailing address
6400 SE LAKE RD STE 430, PORTLAND, OR 97222-2129
(971) 368-9292
(503) 917-4971
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201391918NP-PP
OR
Other
Enumeration date
03/29/2011
Last updated
02/10/2023
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