Individual
DIANA GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10330 SE 32ND AVE STE 305, MILWAUKIE, OR 97222-6596
(503) 513-1800
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036.119995
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
MD28814
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500603271
—
OR
Enumeration date
09/15/2008
Last updated
03/09/2021
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