Individual
MICHAEL R. GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5630 SE 52ND AVE, PORTLAND, OR 97206-5654
(702) 277-4334
Mailing address
5630 SE 52ND AVE, PORTLAND, OR 97206-5654
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 2248
NV
Other
Enumeration date
08/13/2008
Last updated
04/15/2024
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