MAYA GILLAM, L.M.T.

Specialist

Active Individual
NPI: 1811226665

Practice Address

12555 SW 1ST ST
Beaverton, OR 97005

Phone: (503) 619-6936

Specialties

Specialty Code Primary License
Specialist 174400000X Yes 14240 (OR)

Frequently Asked Questions

NPI 1811226665 is the National Provider Identifier for MAYA GILLAM, L.M.T., a Specialist provider located in Beaverton, OR. This NPI was enumerated on December 8, 2009.
MAYA GILLAM, L.M.T. practices at 12555 SW 1ST ST, Beaverton, OR 97005.

Quick Facts

NPI
1811226665
Type
Individual
Enumerated
Dec 8, 2009
Last Updated
Dec 8, 2009

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