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Gabriel Marquez

Peer Specialist in Vancouver, WA. Individual provider (NPI-1).

NPI number1689400459
StatusActive
Last updated in NPPESSep 10, 2024

Details

NPI
1689400459
Entity type
Individual (NPI-1)
Name
Gabriel Marquez
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 10, 2024
Certification date
Sep 3, 2024
Last updated
Sep 10, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

1601 E. 4th Blvd. Bldg. 17
Ste. A212
Vancouver, WA 98661

Phone 360-936-7870

Mailing address

3214 St Johns Blvd
Vancouver, WA 98661-3725

Phone 360-936-7870

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