Provider Demographics
NPI:1487883955
Name:GOSSLING, LINDA M (PMHNP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:GOSSLING
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
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Mailing Address - Street 1:10011 SE DIVISION ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-1351
Mailing Address - Country:US
Mailing Address - Phone:503-467-7690
Mailing Address - Fax:503-548-0315
Practice Address - Street 1:10011 SE DIVISION ST
Practice Address - Street 2:SUITE 307
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-1351
Practice Address - Country:US
Practice Address - Phone:503-467-7690
Practice Address - Fax:503-548-0315
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2014-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OR200950084NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health