Individual
DR. GINA L ORTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
PORTLAND VAMC, 3710 SW US VETERANS HOSPITAL ROAD, PORTLAND, OR 97207
(503) 220-8262
Mailing address
PORTLAND VAMC, PO BOX 1034, PORTLAND, OR 97207
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1286
OR
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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