JOSEPH WILLIAM GILLAM

PORTLAND, OR
NPI1891458980
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  23871)
Enumeration Date2021-10-15
Last Update Date2021-10-15
Business Address
JOSEPH WILLIAM GILLAM LMT
8311 SE 13TH AVE STE A
PORTLAND, OR 97202-7170
Phone number: 971-202-0554
Mailing Address
JOSEPH WILLIAM GILLAM LMT
8624 SE 17TH AVE APT 203
PORTLAND, OR 97202-7387
Phone number: 607-793-3193