Individual
MATTHEW GERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
738 NE DAVIS ST, PORTLAND, OR 97232-2931
(503) 233-6090
(503) 542-4623
Mailing address
4620 N MARYLAND AVE APT A202, PORTLAND, OR 97217-3595
(541) 852-5166
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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