Individual
SCOTT DANIEL GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1427 SE 182ND AVE, PORTLAND, OR 97233-5008
(503) 761-6006
Mailing address
1427 SE 182ND AVE, PORTLAND, OR 97233-5008
(503) 761-6006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/03/2007
Last updated
06/15/2021
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