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1376908202
BRYAN GISH
PORTLAND, OR
NPI
1376908202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L4566)
Enumeration Date
2015-12-18
Last Update Date
2015-12-18
Business Address
-- BRYAN GISH LCSW
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8647
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Mailing Address
-- BRYAN GISH LCSW
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8647
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