Individual
MICHELLE ELAINE GILPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1940 NW 24TH AVE, PORTLAND, OR 97210-2786
(503) 866-5232
Mailing address
806 NE LAURELHURST PL, PORTLAND, OR 97232-2655
(503) 866-5232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6645
OR
225100000X
Physical Therapist
PT60255809
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265717201
—
WA
05
—
500639302
—
OR
Enumeration date
10/20/2011
Last updated
11/15/2023
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