Individual
PAIGE GUMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4635
(503) 472-4020
Mailing address
435 NE EVANS ST STE A, MCMINNVILLE, OR 97128-4635
(503) 472-4020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/07/2023
Last updated
07/31/2024
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