Individual
FAITH GALLUP-LINDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 NE MLK BLVD STE 200, PORTLAND, OR 97212-2093
(360) 839-4796
Mailing address
3500 NE MLK BLVD STE 200, PORTLAND, OR 97212-2093
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R9829
OR
106S00000X
Behavior Technician
—
AZ
Other
Enumeration date
07/27/2021
Last updated
09/17/2024
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