JOSHUA LEWIS-GANNON

TIGARD, OR
NPI1093492886
Former NameJOSHUA GANNON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-07-03
Last Update Date2023-07-03
Business Address
JOSHUA LEWIS-GANNON
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740
Mailing Address
JOSHUA LEWIS-GANNON
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-726-3740