Individual
MARK MAHAMOUD GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1359 NE 35TH AVE., PORTLAND, OR 97232
(503) 389-5545
Mailing address
1359 NE 35TH AVE., PORTLAND, OR 97232
(503) 389-5545
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5070
OR
111N00000X
Chiropractor
CH10350
FL
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
—
—
Other
Enumeration date
07/12/2011
Last updated
09/26/2014
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