Individual
DAVE R GALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1509 SW SUNSET BLVD STE 2G, PORTLAND, OR 97239-2690
(503) 704-7796
Mailing address
1431 SW WESTWOOD DR, PORTLAND, OR 97239-2754
(503) 452-2342
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0697
OR
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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