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Individual

LAUREL OLIVER-GILMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
5232 N INTERSTATE AVE, PORTLAND, OR 97217
(503) 575-9402
(503) 360-1299
Mailing address
334 NE MORGAN ST, PORTLAND, OR 97211-2934
(503) 575-9402
(503) 360-1299

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
171M00000X
Case Manager/Care Coordinator
174400000X
Specialist
Primary

Other

Enumeration date
12/23/2009
Last updated
12/23/2009
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