Individual
KAMILAH DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3521 SE PAROPA AVE, GRESHAM, OR 97080-8789
(971) 340-7895
Mailing address
3521 SE PAROPA AVE, GRESHAM, OR 97080-8789
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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