MARK GUNDRY L.P.C. NPI 1710302005

NPI Information

NPI: 1710302005
Provider Name: MARK GUNDRY, L.P.C.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
511 SE 11TH AVE
SUITE 204
PORTLAND, OR
ZIP 97214
Phone: (503) 957-3391
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Mark Gundry, L.P.C. is a professional counselor in Portland, OR. Mark Gundry, L.P.C. NPI is 1710302005. 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:

511 SE 11TH AVE
SUITE 204
PORTLAND, OR
ZIP 97214-411
Phone: (503) 957-3391

The enumeration date for this NPI number is 2/24/2014 and was last updated on 2/24/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	C3340	OREGON	Yes

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

NPI Synchronization or Removal

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