Individual provider · Type 1 NPI

Bryan Gish, LCSW

Clinical Social Worker · Portland, OR

NPI number 1376908202 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-8647 Map

Fax (503) 418-5396

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL4566 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1376908202

Bryan Gish, LCSW's National Provider Identifier is 1376908202, issued on Dec 18, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portland, OR. The record was last updated on Dec 18, 2015.