Individual provider · Type 1 NPI
Mark Gundry, L.P.C.
Professional Counselor · Portland, OR
NPI number
1710302005
Active
Practice location
511 SE 11th Ave, Suite 204
Portland, OR 97214-2411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | C3340 (OR) |
Professional Counselor: Definition to come...
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About NPI 1710302005
Mark Gundry, L.P.C.'s National Provider Identifier is 1710302005, issued on Feb 24, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Feb 24, 2014.