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Individual

VINAY GAGLANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
890 82ND DR, WESTERN PSYCHOLOGICAL AND COUNSELING, GLADSTONE, OR 97027-1803
(503) 659-5515
(503) 212-2292
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2799
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
164936
OR
Enumeration date
10/19/2007
Last updated
01/03/2017
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