Individual
DANIELLE GASKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7134
Mailing address
33 NW BROADWAY, PORTLAND, OR 97209-3580
(503) 228-7134
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M5329
OR
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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