Gouge, Doug Brian

Gouge, Doug Brian is an individual health care provider with primary practice located at 182 Sw Academy St , Dallas OR 97338-1922. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gouge, Doug Brian can be contacted via phone (503) 623-9289.

Contact Information

Primary practice address
182 Sw Academy St Dallas OR 97338-1922
Phone: (503) 623-9289
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1750505616
LBN Legal business name Gouge, Doug Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 8th, 2007 - about 18 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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