Provider Demographics
NPI:1861571317
Name:HARDMAN-WOUNG, GAIL MARGARET (LCSW)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:MARGARET
Last Name:HARDMAN-WOUNG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 NE SANDY BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97212-5331
Mailing Address - Country:US
Mailing Address - Phone:971-940-2601
Mailing Address - Fax:503-288-7877
Practice Address - Street 1:4035 NE SANDY BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-5331
Practice Address - Country:US
Practice Address - Phone:971-940-2601
Practice Address - Fax:503-288-7877
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL37991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical