Individual
MRS. CALLIE CATHLEEN GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 472-3723
Mailing address
627 NE EVANS ST, MCMINNVILLE, OR 97128-3923
(503) 472-3723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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