Individual provider · Type 1 NPI

Maya Gillam, L.M.T.

Specialist · Beaverton, OR

NPI number 1811226665 Active

Practice location

12555 SW 1st St
Beaverton, OR 97005

Call (503) 619-6936 Map

Mailing address

12555 SW First St
Beaverton, OR 97005

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X14240 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1811226665

Maya Gillam, L.M.T.'s National Provider Identifier is 1811226665, issued on Dec 8, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaverton, OR. The record was last updated on Dec 8, 2009.