Individual
LILY ROSE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5210 N KERBY AVE, PORTLAND, OR 97217-2656
(503) 916-5180
Mailing address
2127 NW IRVING ST APT 305, PORTLAND, OR 97210-5244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18278
OR
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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