Most Relevant Information
Provider Data
| NPI Number: | 1003656695 |
| Provider Name: | JOSEPH THOMAS GIANOTTI MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/30/2024 |
| Last Updated: | 05/30/2024 |
Provider Practice Location
2950 SE STARK ST STE 130
PORTLAND
OR
972143082
Practice Location Phone/Fax
| Phone: | 9712700167 |
| Fax: |
Provider Mailing Location
2950 SE STARK ST STE 130
PORTLAND
OR
972143082
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |