Individual
MISS ANGELA LYN GURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8744 SE LINCOLN ST, PORTLAND, OR 97216-1911
(910) 494-9782
Mailing address
8744 SE LINCOLN ST, PORTLAND, OR 97216-1911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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