person
Gennady Fortuna
Professional Counselor in Gladstone, Oregon
NPI 1780204164

Gennady Fortuna is a Professional Counselor based in Milwaukie, OR and is specialized in Professional. Gennady Fortuna practices in Gladstone, OR. The NPI Number for Gennady Fortuna is 1780204164 and holds a License No. (Oregon).

The current practice location address for Gennady Fortuna is 880 82Nd Dr, Gladstone, OR and can be reached out via phone at 503-856-4798. You can also correspond with Gennady Fortuna through the mailing address at 12200 SE MCLOUGHLIN BLVD, MILWAUKIE, OR - 97222-7281 (mailing address contact number: ).

Location: 880 82Nd Dr, Gladstone, OR, 97222-7281
person
Provider Profile Details
NPI Number
1780204164
Provider Name
Gennady Fortuna
Credential
Provider Entity Type
Individual
Gender
Male
Address
880 82Nd Dr, Gladstone, OR, 97222-7281
Phone Number
503-856-4798
Fax Number
Provider Enumeration Date
04/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
880 82Nd Dr
City
State
Zip
97027-1803
Phone Number
503-856-4798
Fax Number
person
Provider Business Mailing Address Details
Address
880 82Nd Dr
City
State
Zip
97027-1803
Phone Number
503-856-4798
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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