person
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. You can also correspond with Reginald Vanness Gilmore II through the mailing address at PO BOX 368, MARYLHURST, OR - 97036-0368 (mailing address contact number: ).

Location: 2507 Christie Dr, Lake Oswego, OR, 97036-0368
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
State
Zip
97034
Phone Number
503-635-3416
Fax Number
person
Provider Business Mailing Address Details
Address
2507 Christie Dr
City
State
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
License No.
()
Definition
Definition to come...
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