Individual
JESSICA BLAIR GALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 233-4356
Mailing address
3000 SW CORBETH LN, APT. 101, TROUTDALE, OR 97060-3177
(503) 484-3095
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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