Individual
MR. JUSTIN DAVID GALASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10202 SE 32ND AVE, MILWAUKIE, OR 97222-3610
(503) 496-1190
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/20/2010
Last updated
02/06/2012
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