Individual
GLORIA PATRICIA ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 NE PRESCOTT ST, PORTLAND, OR 97218-2159
(503) 389-0064
Mailing address
1348 NE 195TH AVE, PORTLAND, OR 97230-7739
(646) 243-5272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
512798
OR
Other
Enumeration date
05/19/2008
Last updated
06/04/2025
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