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1053979153
HEATHER GILLIAM
PORTLAND, OR
NPI
1053979153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
HEATHER GILLIAM
4400 NE HALSEY ST BLDG 2
PORTLAND, OR 97213-1545
Phone number: 503-893-6472
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Mailing Address
HEATHER GILLIAM
9660 SW SADDLE DR
BEAVERTON, OR 97008-6744
Phone number: 503-524-2061
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