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NPI Code Detail

MEDICARE: MARK J GASKILL MFT

MEDICARE: MARK J GASKILL MFT
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
1106H00000XMarriage & Family TherapistLF61127703WA
2171M00000XCase Manager/Care Coordinator
3106H00000XMarriage & Family TherapistPMFT-284WY
4106H00000XMarriage & Family TherapistWY-LMFT237WY

General Provider Information

NPI Number : 1720519176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK J GASKILL MFT
Provider Business Mailing Address
First Line : 118 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6129
Country : US
Telephone Number : 307-414-0456
Fax Number :
Provider Business Practice Location Address
First Line : 118 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6129
Country : US
Telephone Number : 360-457-0431
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 03/13/2026

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