TIM C GILLES

PORTLAND, OR
NPI1992844203
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
-- TIM C GILLES CADC 1
1312 SW WASHINGTON ST
PORTLAND, OR 97205-2327
Phone number: 503-535-1150
Mailing Address
-- TIM C GILLES CADC 1
2142 SE 52ND AVE
PORTLAND, OR 97215-3908
Phone number: 503-535-1150
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