Individual
SALLY GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC
Contact information
Practice address
4445 NE FREMONT ST, PORTLAND, OR 97213-1153
(503) 929-8807
Mailing address
4445 NE FREMONT ST, PORTLAND, OR 97213-1153
(503) 929-8807
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2587
OR
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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