Individual
MR. JOSHUA MATTHEW GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
9660 SW SADDLE DR, BEAVERTON, OR 97008-6744
(503) 338-0515
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
200540962RN
OR
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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