Individual
LILIANA THIRDGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6017 N ALBINA AVE, PORTLAND, OR 97217-1801
(503) 960-7202
Mailing address
6017 N ALBINA AVE, PORTLAND, OR 97217-1801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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