Individual
DIANE ELAINE GANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
516 SE MORRISON ST, SUITE 810, PORTLAND, OR 97214-2327
(503) 704-3759
Mailing address
516 SE MORRISON ST, SUITE 810, PORTLAND, OR 97214-2327
(503) 704-3759
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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