Individual
MS. SUSANNE GILLILAND-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
847 NE 19TH AVE STE 160, PORTLAND, OR 97232-2686
(503) 963-7791
Mailing address
2415 SE 43RD AVE, PORTLAND, OR 97206-1600
(503) 674-7777
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
08/31/2013
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