Individual
GERALD E MAGARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2098 NW LAKESIDE PL, BEND, OR 97703-1331
(541) 678-8873
Mailing address
2098 NW LAKESIDE PL, BEND, OR 97703-1331
(541) 678-8873
(541) 312-5200
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC 25660
CA
106H00000X
Marriage & Family Therapist
Primary
T0797
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508118100
NPI
—
01
—
T0797
LICENSE
OR
Enumeration date
10/05/2012
Last updated
04/20/2021
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