GERALD ERIC DECKELBAUM

PORTLAND, OR
NPI1336235126
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  2999)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
Mr. GERALD ERIC DECKELBAUM LCSW
1020 SW TAYLOR ST #445
PORTLAND, OR 97205-2543
Phone number: 503-224-0033
Mailing Address
Mr. GERALD ERIC DECKELBAUM LCSW
1137 SE 52ND AVE
PORTLAND, OR 97215-2632
Phone number: 503-232-3761
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