MAYA GILLAM

BEAVERTON, OR
NPI1811226665
Former NameMAYA YUREVICH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: OR  14240)
Enumeration Date2009-12-08
Last Update Date2009-12-08
Business Address
-- MAYA GILLAM L.M.T.
12555 SW 1ST ST
BEAVERTON, OR 97005
Phone number: 503-619-6936
Mailing Address
-- MAYA GILLAM L.M.T.
12555 SW FIRST ST
BEAVERTON, OR 97005
Phone number: 503-619-6936