Individual
NICOLE ELIZABETH GERBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4516 NE 33RD AVE, PORTLAND, OR 97211-7725
(260) 450-2340
Mailing address
4516 NE 33RD AVE, PORTLAND, OR 97211-7725
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8330
OR
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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