Gazdziak, Timothy

Gazdziak, Timothy is an individual health care provider with primary practice located at 1700 Nw Civic Dr Suite 310, Gresham OR 97030-3770. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Gazdziak, Timothy can be contacted via phone (503) 666-8832.

Contact Information

Primary practice address
1700 Nw Civic Dr Suite 310 Gresham OR 97030-3770
Phone: (503) 666-8832
Fax: (503) 669-8641
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X C2938 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C2938 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X C2938 Oregon

Profile Details

NPI number 1083814677
LBN Legal business name Gazdziak, Timothy
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2007
Last updated Mar 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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