Doctor Name: | PATRICIA GASKINS |
NPI Number: | 1609117472 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADC I |
License Number: | 09-09-13 |
Business Practice Address: | 125 Sw C St Madras, OR - 977411458 |
Business Phone Number: | 5415164087 |
Business Fax Number: | 5415041195 |
Mailing Address: | Po Box 1710, REDMOND |
State: | OR |
Postal Code: | 977560516 |
Phone Number: | 5415164087 |
Fax Number: | 5415041195 |
NPI Enumeration Date: | 03/04/2013 |
NPI Last Update Date: | 03/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 09-09-13 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |