Individual
MICHELLE RENEE GILHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT/CNA
Contact information
Practice address
16560 S.E. 80TH AVE, PORTLAND OR 97267, 19650 SE 80TH AVE, PORTLAND, OR 97267
(503) 799-0350
Mailing address
19605 RIVER RD UNIT 15, GLADSTONE, OR 97027
(503) 799-0350
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT25461
OR
Other
Enumeration date
04/17/2020
Last updated
08/30/2023
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