Individual
CAITLIN BELLE GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 SW 5TH AVE APT 1318, PORTLAND, OR 97201-5298
(520) 861-8640
Mailing address
2445 SE HAWTHORNE BLVD, PORTLAND, OR 97214-3924
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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