Individual
GIONNI GAMBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10763 SOUTHWEST GREENGURG ROAD SUITE 100, PORTLAND, OR 97233-4834
(503) 684-8159
(503) 684-8159
Mailing address
10763 SW GREENBURG RD, TIGARD, OR 97223-5492
(971) 356-4618
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-1297
OR
Other
Enumeration date
10/01/2020
Last updated
11/13/2023
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