Individual
GINA GRATZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
959 SE DIVISION ST STE 315, PORTLAND, OR 97214-4650
(310) 818-9800
Mailing address
3439 NE SANDY BLVD # 638, PORTLAND, OR 97232-1959
(310) 818-9800
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T1339
OR
Other
Enumeration date
05/23/2018
Last updated
01/06/2020
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