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Connor Lee Gallik

NPI Registration Record

Provider / OrganizationNPIDate Certified
CONNOR LEE GALLIK17903948802020-07-24
Entity TypeIndividual
Provider Name Connor Lee Gallik
Practice Office Address222 SE 8TH AVE STE 212
HILLSBORO, OR US
Practice Office Telephone5033527333
Mailing Address222 SE 8TH AVE STE 212
HILLSBORO, OR 971234218 US
HPT Codes
CodeLicense NoState
101YM0800X PRIMARY
OPI Codes

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