GREGORY EVAN BIRNBAUM

PORTLAND, OR
NPI1881975373
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-08-29
Last Update Date2017-11-28
Business Address
GREGORY EVAN BIRNBAUM
847 NE 19TH AVE STE 100
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
GREGORY EVAN BIRNBAUM
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769