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Individual

DR. DAVID ROBERT GLEAVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
1800 BLANKENSHIP RD STE 200, WEST LINN, OR 97068
(971) 350-8776
Mailing address
PO BOX 223, WEST LINN, OR 97068-0223
(971) 350-8776

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2739
OR
103TF0200X
Forensic Psychologist
2739
OR

Other

Enumeration date
12/10/2010
Last updated
10/13/2018
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