Individual
ADRIENNE ROSANNE GILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5120 SE 118TH AVE, PORTLAND, OR 97266-3250
(503) 762-3431
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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