Gillam, Maya

Gillam, Maya is an sole proprietor health care provider with primary practice located at 12555 Sw 1St St , Beaverton OR 97005. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Gillam, Maya can be contacted via phone (503) 619-6936.

Contact Information

Primary practice address
12555 Sw 1St St Beaverton OR 97005
Phone: (503) 619-6936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14240 Oregon

Profile Details

NPI number 1811226665
LBN Legal business name Gillam, Maya
Credentials L.M.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2009
Last updated Dec 8th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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