Pullen, Gabrielle

Pullen, Gabrielle is an sole proprietor health care provider with primary practice located at 235 W Main St , Jacksonville OR 97530-9278. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Pullen, Gabrielle can be contacted via phone (541) 777-0124.

Contact Information

Primary practice address
235 W Main St Jacksonville OR 97530-9278
Phone: (541) 777-0124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Other Service Providers / Specialist 174400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 25754 Oregon

Profile Details

NPI number 1699976621
LBN Legal business name Pullen, Gabrielle
Credentials GCFP, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2007
Last updated Feb 23rd, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699976621 NPPES
Oregon Other 25754 OREGON STATE BOARD OF MASSAGE THERAPY LICENSE NUMBER

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