Individual
GABRIELLA SOLITA MARINCOVICH-MALLARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3194 MARINE DR, ASTORIA, OR 97103-2734
(503) 325-5722
(503) 861-2043
Mailing address
65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146-9371
(503) 325-5722
(503) 861-2043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/23/2020
Last updated
04/30/2025
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