Gillgam, Sandra

Gillgam, Sandra is an individual health care provider with primary practice located at 11703 Ne Glisan St , Portland OR 97220-2141. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Gillgam, Sandra can be contacted via phone (503) 253-7839.

Contact Information

Primary practice address
11703 Ne Glisan St Portland OR 97220-2141
Phone: (503) 253-7839
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1922139054
LBN Legal business name Gillgam, Sandra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 17 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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