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1194731687
DAVID RAYMOND GOSTNELL
PORTLAND, OR
NPI
1194731687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: OR 600)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
DAVID RAYMOND GOSTNELL PhD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-4314
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Mailing Address
DAVID RAYMOND GOSTNELL PhD
2327 NE 16TH AVE
PORTLAND, OR 97212-4227
Phone number:
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