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Individual

JAMES GALLAGHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(540) 440-1000
Mailing address
840 RAILROAD ST, BROOKINGS, OR 97415-9697
(541) 412-1152

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
202203723NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
25278
SC

Other

Enumeration date
10/29/2021
Last updated
12/31/2025
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