Individual
MS. GABRIELLA ELISE DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
823 NE BROADWAY ST, PORTLAND, OR 97232-1215
(503) 287-2295
Mailing address
823 NE BROADWAY ST, PORTLAND, OR 97232-1215
(503) 287-2295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01364
OR
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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