SANDRA GILLGAM

PORTLAND, OR
NPI1922139054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
-- SANDRA GILLGAM
11703 NE GLISAN ST
PORTLAND, OR 97220-2141
Phone number: 503-253-7839
Mailing Address
-- SANDRA GILLGAM
11703 NE GLISAN ST
PORTLAND, OR 97220-2141
Phone number: 503-253-7839