| Rory G Gerard | |
|
818 Commercial St Suite 303 Astoria OR 97103-4547 | |
| (503) 515-2545 | |
| (503) 961-9858 |
| Full Name | Rory G Gerard |
|---|---|
| Speciality | Counselor - Professional |
| Location | 818 Commercial St, Astoria, Oregon |
| Authorized Official Name and Position | Rory Gil Gerard (SOLE PROPRIETOR) |
| Authorized Official Contact | 5035152545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rory G Gerard 818 Commercial St Suite 303 Astoria OR 97103-4547 Ph: (503) 515-2545 | Rory G Gerard 818 Commercial St Suite 303 Astoria OR 97103-4547 Ph: (503) 515-2545 |
| NPI Number | 1033562079 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033562079 | NPI | - | NPPES |
| 500653546 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C3025 (Oregon) | Primary |
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