Individual
ELIZABETH GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9344 SE SCHILLER ST APT D, PORTLAND, OR 97266-2751
(503) 726-3740
Mailing address
9344 SE SCHILLER ST APT D, PORTLAND, OR 97266
(503) 726-3740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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