Individual
JESSICA LEAH GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
Mailing address
395 SE REGAN HILL LOOP, ESTACADA, OR 97023-7400
(503) 313-1386
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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