Tim C Gilles CADC 1

NPI 1992844203 - Counselor - 101YA0400X

NPI Details
NPI 1992844203
Gender Male
Enumeration Date 02/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1312 SW WASHINGTON ST
PORTLAND OR, 97205-2327, US
Phone (503) 535-1150
Fax (503) 535-1192
Business Location
2142 SE 52ND AVE
PORTLAND OR, 97215-3908, US
Phone (503) 535-1150
Fax (503) 535-1192
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
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According to our database, Tim C Gilles CADC 1 NPI is 1992844203, taxonomy code is 101YA0400X Tim C Gilles CADC 1 physically located at 1312 Sw Washington St, Portland OR, 97205-2327. NPI Number Tim C Gilles CADC 1 has the Individual type.

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1992844203 NPI number is provided on an as is basis without warranty of any kind. 1992844203 is maintained by the National Plan & Provider Enumeration System. The contents of Tim C Gilles CADC 1 are for informational purposes only.