Individual
GABRIEL GOODRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16190 SW 108TH AVE APT 216, TIGARD, OR 97224-4444
(503) 956-2746
Mailing address
16190 SW 108TH AVE APT 216, TIGARD, OR 97224-4444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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