GENNADY FORTUNA

GLADSTONE, OR
NPI1780204164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
Enumeration Date2020-04-25
Last Update Date2020-10-30
Business Address
GENNADY FORTUNA
880 82ND DR
GLADSTONE, OR 97027-1803
Phone number: 503-856-4798
Mailing Address
GENNADY FORTUNA
12200 SE MCLOUGHLIN BLVD
MILWAUKIE, OR 97222-7281
Phone number:
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