Individual
GAYLE KATHRYN ELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 233-4356
(503) 252-6234
Mailing address
1718 NE 82ND AVE, PORTLAND, OR 97220-5602
(503) 525-1055
(503) 252-6234
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD21333
OR
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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