Provider Demographics
NPI:1023758943
Name:SOLARIO, GABRIELLE (CG 61265886)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:SOLARIO
Suffix:
Gender:F
Credentials:CG 61265886
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 INDEX ST
Mailing Address - Street 2:
Mailing Address - City:WASHOUGAL
Mailing Address - State:WA
Mailing Address - Zip Code:98671-2567
Mailing Address - Country:US
Mailing Address - Phone:321-946-6638
Mailing Address - Fax:
Practice Address - Street 1:5197 NW LOWER RIVER ROAD
Practice Address - Street 2:BLDG #1
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660
Practice Address - Country:US
Practice Address - Phone:360-205-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-30
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist