Individual
GARY D WARNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
3910 SE STARK ST, PORTLAND, OR 97214-3214
(503) 235-8655
Mailing address
3910 SE STARK ST, PORTLAND, OR 97214-3241
(503) 235-8655
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/11/2007
Last updated
02/16/2017
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