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1134726268
GIONNI GAMBINO
PORTLAND, OR
NPI
1134726268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR T-21-1297)
Enumeration Date
2020-10-01
Last Update Date
2023-11-13
Business Address
GIONNI GAMBINO
10763 SOUTHWEST GREENGURG ROAD SUITE 100
PORTLAND, OR 97233-4834
Phone number: 503-684-8159
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Mailing Address
GIONNI GAMBINO
10763 SW GREENBURG RD
TIGARD, OR 97223-5492
Phone number: 971-356-4618
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