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General NPI Number Information
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NPI Number | 1750240800
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Entity Type | Individual
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Provider Name | GABRIELLE CHRISTINE CORTES QMHA-R, PSS
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 355 NW DIVISION ST
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City | GRESHAM
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State | OR
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Zip | 97030-5523
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Country | US
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Telephone | 503-231-2641
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Fax |
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Provider Business Mailing Address
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Address Line | 211 SE CARUTHERS ST
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City | PORTLAND
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State | OR
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Zip | 97214-4502
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Country | US
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Telephone | 971-217-9008
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 113709
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 26-QMHA-R-812
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License Number State | OR
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