Provider Demographics
NPI:1437301165
Name:DENISON, GABRIEL ELIHUE (CADC , HHP)
Entity Type:Individual
Prefix:MS
First Name:GABRIEL
Middle Name:ELIHUE
Last Name:DENISON
Suffix:
Gender:F
Credentials:CADC , HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17217 KENT RD
Mailing Address - Street 2:
Mailing Address - City:SISTERS
Mailing Address - State:OR
Mailing Address - Zip Code:97759-9301
Mailing Address - Country:US
Mailing Address - Phone:541-408-4853
Mailing Address - Fax:
Practice Address - Street 1:17217 KENT RD
Practice Address - Street 2:
Practice Address - City:SISTERS
Practice Address - State:OR
Practice Address - Zip Code:97759-9301
Practice Address - Country:US
Practice Address - Phone:541-408-4853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-13
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist