Individual
MISS KELLY LYNN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8285 SW NIMBUS AVE STE 148, BEAVERTON, OR 97008-6465
(503) 941-8877
Mailing address
8285 SW NIMBUS AVE STE 148, BEAVERTON, OR 97008-6465
(503) 941-8877
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7572
OR
Other
Enumeration date
01/20/2009
Last updated
05/08/2020
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