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Individual

KATHLEEN R GILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
2929 SW MULTNOMAH BLVD, SUITE 208, PORTLAND, OR 97219-4025
(503) 477-8214
(503) 477-8213
Mailing address
2929 SW MULTNOMAH BLVD, SUITE 208, PORTLAND, OR 97219-4025
(503) 477-8214
(503) 477-8213

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1753
OR

Other

Enumeration date
04/26/2007
Last updated
03/16/2009
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