Individual
MR. GARY NEAL REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
412 W 17TH AVE, EUGENE, OR 97401-3869
(541) 686-8060
(541) 686-6647
Mailing address
412 W 17TH AVE, EUGENE, OR 97401-3869
(541) 686-8060
(541) 686-6647
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L0746
OR
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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