Individual
MS. GIDGET M PORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222, VANCOUVER, WA 98661-3753
(360) 397-8484
(360) 397-8494
Mailing address
PO BOX 1845, VANCOUVER, WA 98668-1845
(360) 397-8484
(360) 397-8494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60365315
WA
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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