Individual provider · Type 1 NPI

Tim C. Gilles, CADC 1

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1992844203 Active

Practice location

1312 SW Washington St
Portland, OR 97205-2327

Call (503) 535-1150 Map

Fax (503) 535-1192

Mailing address

2142 SE 52nd Ave
Portland, OR 97215-3908

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1992844203

Tim C. Gilles, CADC 1's National Provider Identifier is 1992844203, issued on Feb 5, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.