Individual
YUNING GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5900
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RTB013164
MENTAL HEALTH CAREGIVER
—
Enumeration date
07/15/2021
Last updated
07/15/2021
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