Individual
DR. CRAIG THOMAS GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035
(503) 850-9940
(503) 850-6709
Mailing address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035-2556
(503) 850-9940
(503) 850-6709
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO193270
OR
207X00000X
Orthopaedic Surgery Physician
PG157927
OR
207XS0106X
Orthopaedic Hand Surgery Physician
DO193270
OR
Other
Enumeration date
06/21/2012
Last updated
05/18/2020
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