Individual
GEMMA PAULA BAUMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC-INTERN
Contact information
Practice address
511 SW 10TH AVE, PORTLAND, OR 97205-2732
(510) 332-1155
Mailing address
511 SW 10TH AVE, PORTLAND, OR 97205-2732
(510) 332-1155
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R6707
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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