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Organization

TODD GILLINGHAM MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD GILLINGHAM M.D. (OWNER)
(503) 582-8283
Entity
Organization

Contact information

Practice address
15160 NW LAIDLAW RD, SUITE 100, PORTLAND, OR 97229-7707
(503) 582-8283
(503) 582-9004
Mailing address
15160 NW LAIDLAW RD, SUITE 100, PORTLAND, OR 97229-7707
(503) 582-8283
(503) 582-9004

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/21/2012
Last updated
08/21/2012
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