Individual
PERI GEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 238-5203
Mailing address
630 PLEASANT AVE APT F209, OREGON CITY, OR 97045-3682
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17-05-14
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245378546
—
OR
Enumeration date
11/01/2016
Last updated
02/05/2019
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