Individual
MS. CAROLE GAGLIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12710 SE DIVISION ST, MID COUNTY HEALTH CLINIC, PORTLAND, OR 97236
(503) 988-3601
(503) 988-4452
Mailing address
421 SW OAK ST, #210, PORTLAND, OR 97204
(503) 988-3663
(503) 988-4098
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
086006540N2NP
OR
Other
Enumeration date
08/02/2006
Last updated
03/16/2010
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