Betty Gallucci CADC I, QMHA

NPI 1063612950 - Counselor - 101YA0400X

NPI Details
NPI 1063612950
Gender Female
Enumeration Date 07/19/2007
Last Updated 07/19/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4310 NE KILLINGSWORTH ST
PORTLAND OR, 97218, US
Phone (503) 535-1181
Fax (503) 535-1190
Business Location
PO BOX 3007
PORTLAND OR, 97208-3007, US
Phone (503) 535-1181
Fax (503) 535-1190
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Betty Gallucci CADC I, QMHA NPI is 1063612950, taxonomy code is 101YA0400X Betty Gallucci CADC I, QMHA physically located at 4310 Ne Killingsworth St, Portland OR, 97218. NPI Number Betty Gallucci CADC I, QMHA has the Individual type.

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1063612950 NPI number is provided on an as is basis without warranty of any kind. 1063612950 is maintained by the National Plan & Provider Enumeration System. The contents of Betty Gallucci CADC I, QMHA are for informational purposes only.