Individual provider · Type 1 NPI

Joseph William Gillam, LMT

Massage Therapist · Portland, OR

NPI number 1891458980 Active

Practice location

8311 SE 13th Ave Ste A
Portland, OR 97202-7170

Call (971) 202-0554 Map

Mailing address

8624 SE 17th Ave Apt 203
Portland, OR 97202-7387

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X23871 (OR)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1891458980

Joseph William Gillam, LMT's National Provider Identifier is 1891458980, issued on Oct 15, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Portland, OR. The record was last updated on Oct 15, 2021.