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TIMOTHY GAZDZIAK LPC NPI 1083814677


NPI Information

NPI: 1083814677
Provider Name: TIMOTHY GAZDZIAK, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1700 NW CIVIC DR
SUITE 310
GRESHAM, OR
ZIP 97030
Phone: (503) 666-8832
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Timothy Gazdziak, LPC is a mental health counselor in Gresham, OR. Timothy Gazdziak, LPC NPI is 1083814677. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1700 NW CIVIC DR
SUITE 310
GRESHAM, OR
ZIP 97030-770
Phone: (503) 666-8832
Fax: (503) 669-8641

The enumeration date for this NPI number is 7/20/2007 and was last updated on 3/15/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorC2938OREGONNo
2101YP2500XCounselorProfessionalC2938OREGONNo
3101YM0800XCounselorMental HealthC2938OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.