Joseph Gillam, LMT

NPI 1891458980 · on the registry since 2021 · sole proprietor

Practice

Address: 8311 Se 13th Ave Ste A
Portland, OR 97202
Phone: (971) 202-0554
Organisation at this address: Rainbow Creative, Llc
Nicole Brown Prof Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon