Omar Gandarilla
Omar Gandarilla is a Clinical Child & Adolescent Psychologist in Portland, Oregon. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
17214 SE Division StPortland, OR 97236-1282
Phone: (503) 761-5272
Fax: (503) 762-6250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Child & Adolescent Psychologist (primary) | Taxonomy 103TC2200X |
|---|
Record details
| NPI number | 1427455534 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 4, 2014 |
| Last updated in NPPES | December 4, 2014 |
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