Individual
ELISHA DAN GILNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
3450 NE 50TH AVE, PORTLAND, OR 97213-2444
(513) 478-2362
Mailing address
PO BOX 13402, PORTLAND, OR 97213-0402
(513) 478-2362
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R8668
OR
Other
Enumeration date
05/22/2024
Last updated
06/28/2024
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