Individual
ANNELIESE GLOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 SE 43RD AVE, PORTLAND, OR 97206-1600
(503) 238-0705
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
200943221RN
OR
Other
Enumeration date
12/14/2009
Last updated
03/04/2010
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