NPI 1023616422

Joseph Gorecki, CFSLP

Practitioner Rehabilitation Practitioner Portland, OR

Practice location

Address: 3303 S Bond Ave Bldg 115th, Portland, OR 97239-4501
Phone: (503) 494-5947
Mailing address: 10825 SW Canterbury Ln STE 103, Tigard, OR 97224-3849

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 16935 (OR)

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Registry record

NPI: 1023616422
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Oct 2020
Record last updated: 27 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.