Individual
GREGORY SASHA LONIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
(360) 905-1742
Mailing address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
(360) 905-1742
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
2250
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2007
Last updated
09/15/2020
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