Individual
GERARDO IBARRA ELOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2645 PORTLAND RD NE STE 120, SALEM, OR 97301-0200
(503) 390-5637
Mailing address
360 E 10TH AVE STE 450, EUGENE, OR 97401-5599
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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