Individual
CORY GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
528 COTTAGE ST NE STE 160, SALEM, OR 97301-3789
(503) 450-9900
Mailing address
528 COTTAGE ST NE STE 160, SALEM, OR 97301-3789
(503) 450-9900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
05/03/2021
Last updated
06/23/2021
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