Individual
GABRIELLE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10531 SW CAPITOL HWY, PORTLAND, OR 97219-6812
(503) 916-5681
Mailing address
10531 SW CAPITOL HWY, PORTLAND, OR 97219-6812
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
546169
OR
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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