Individual
MICHAEL D GILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 13TH ST, HOOD RIVER, OR 97031-1204
(541) 387-6455
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD11243
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019161
—
OR
Enumeration date
12/28/2007
Last updated
12/28/2007
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