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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.

Location: 880 82Nd Dr, Gladstone, OR, 97222-7281
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Gladstone
State
Oregon
Zip
97027-1803
Phone Number
503-856-4798
Fax Number
person
Provider Business Mailing Address Details
Address
880 82Nd Dr
City
Gladstone
State
Oregon
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
101YP2500X
License No.
()
Definition
Definition to come...
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