Individual provider · Type 1 NPI

Lael Stephanie Gordon, MSW

Mental Health Counselor · Portland, OR

NPI number 1376838417 Active

Practice location

326 SE 76th Ave
Portland, OR 97215-1468

Fax (503) 255-0359

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376838417

Lael Stephanie Gordon, MSW's National Provider Identifier is 1376838417, issued on Jun 16, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jun 16, 2011.