Healthcare Provider Details

I. General information

NPI: 1215859400
Provider Name (Legal Business Name): GLORIA SERRANO-KIRSCHNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 SE OAK ST STE C
HILLSBORO OR
97123-4392
US

IV. Provider business mailing address

265 SE OAK ST STE C
HILLSBORO OR
97123-4392
US

V. Phone/Fax

Practice location:
  • Phone: 971-441-0460
  • Fax: 503-212-6030
Mailing address:
  • Phone: 971-441-0460
  • Fax: 503-212-6030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: