Provider Demographics
NPI:1255640660
Name:WESTLIN, GAIL LOUISE (MS, MED, NCC, LPC)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:LOUISE
Last Name:WESTLIN
Suffix:
Gender:F
Credentials:MS, MED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2538 NE 32ND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-3608
Mailing Address - Country:US
Mailing Address - Phone:503-307-8681
Mailing Address - Fax:
Practice Address - Street 1:2538 NE 32ND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3608
Practice Address - Country:US
Practice Address - Phone:503-307-8681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-03
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1016969101YS0200X
ORC2783101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool