Individual
JENNIFER GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15075 NW OAKMONT LOOP, BEAVERTON, OR 97006-5506
(503) 531-9957
Mailing address
15075 NW OAKMONT LOOP, BEAVERTON, OR 97006-5506
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
997459
OR
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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