Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | C2783 | OR |
N | 101YS0200X | School Counselor | 1016969 | OR |
NPI | 1255640660 |
---|---|
Provider Name | Ms. Gail Louise Westlin |
First Address | Portland, OR 97212-3608 |
Second Address | Portland, OR 97212-3608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2010 |
Last Update Date | 29/05/2012 |