Individual
MRS. GAIL IRENE SIPPEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 NW EVERETT ST, PORTLAND, OR 97209-3517
(503) 222-4906
(503) 222-3215
Mailing address
PO BOX 66597, PORTLAND, OR 97290-6597
(503) 222-4906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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