Individual
MARK GUNDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
511 SE 11TH AVE, SUITE 204, PORTLAND, OR 97214-2411
(503) 957-3391
Mailing address
511 SE 11TH AVE, SUITE 204, PORTLAND, OR 97214-2411
(503) 957-3391
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3340
OR
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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