Individual
MS. JOAN ELIZABETH GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
715 SW MORRISON ST, SUITE 900, PORTLAND, OR 97205-3122
(503) 929-6614
Mailing address
1030 NW JOHNSON ST APT 420, PORTLAND, OR 97209-3075
(971) 255-1030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278760
—
OR
Enumeration date
03/06/2007
Last updated
10/04/2007
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