Individual
WILLIAM R GILLANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10330 SE 32ND AVE, SUITE 205, MILWAUKIE, OR 97222-6587
(503) 513-8950
(503) 513-8951
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22500
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288481
—
OR
Enumeration date
06/30/2006
Last updated
09/12/2012
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