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Mr. Reginald Vanness Gilmore II
Mental Health Counselor in Lake Oswego, Oregon
NPI 1679129217

Reginald Vanness Gilmore II is a Mental Health Counselor based in Marylhurst, OR and is specialized in Mental Health. Reginald Vanness Gilmore II practices in Lake Oswego, OR. The NPI Number for Reginald Vanness Gilmore II is 1679129217 and holds a License No. (Oregon).

The current practice location address for Reginald Vanness Gilmore II is 2507 Christie Dr, Lake Oswego, OR and can be reached out via phone at 503-635-3416.

Location: 2507 Christie Dr, Lake Oswego, OR, 97036-0368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679129217
Provider Name
Reginald Vanness Gilmore II
Credential
Provider Entity Type
Individual
Gender
Male
Address
2507 Christie Dr, Lake Oswego, OR, 97036-0368
Phone Number
503-635-3416
Fax Number
Provider Enumeration Date
08/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2507 Christie Dr
City
Lake Oswego
State
Oregon
Zip
97034
Phone Number
503-635-3416
Fax Number
person
Provider Business Mailing Address Details
Address
2507 Christie Dr
City
Lake Oswego
State
Oregon
Zip
97034
Phone Number
503-635-3416
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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