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Individual

JOHN GODDARD GALE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 684-1424
Mailing address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 626-1464

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
00034632
WA
2084P0800X
Psychiatry Physician
Primary
MD 14065
OR
2084P0804X
Child & Adolescent Psychiatry Physician
MD00034632
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD14065
OR

Other

Enumeration date
08/15/2006
Last updated
02/19/2010
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