Individual
KORTNEY SUANNE GALLAGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPC
Contact information
Practice address
1116 14TH AVE, LONGVIEW, WA 98632-3017
(360) 261-6930
Mailing address
1116 14TH AVE, LONGVIEW, WA 98632-3017
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61240610
WA
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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