MEDICARE: GALLI MURRAY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	L4686	OR

General Provider Information

NPI Number	:	1376609321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GALLI MURRAY LCSW

Provider Business Mailing Address
First Line	:	2051 KAEN RD
Second Line	:	SUITE 367
City	:	OREGON CITY
State	:	OR
Zip	:	97045-4035
Country	:	US
Telephone Number	:	503-742-5300
Fax Number	:	503-742-5979

Provider Business Practice Location Address
First Line	:	11211 SE 82ND AVE
Second Line	:	SUITE O
City	:	HAPPY VALLEY
State	:	OR
Zip	:	97086-7624
Country	:	US
Telephone Number	:	503-722-6200
Fax Number	:	503-722-6545

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	12/18/2012

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