Individual
MR. GABRIEL DEBENEDICTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 N 29TH AVE, CORNELIUS, OR 97113-8517
(503) 597-3890
Mailing address
19000 NW EVERGREEN PKWY APT 350, HILLSBORO, OR 97124-7052
(503) 268-7859
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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