Laura Gillas Llc | |
717 Sw Gilson St Mcminnville OR 97128-6913 | |
(503) 472-1301 | |
(503) 472-3199 |
Full Name | Laura Gillas Llc |
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Speciality | Social Worker |
Location | 717 Sw Gilson St, Mcminnville, Oregon |
Authorized Official Name and Position | Laura Gillas (SOLE MBR) |
Authorized Official Contact | 5034721301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Laura Gillas Llc 717 Sw Gilson St Mcminnville OR 97128-6913 Ph: (503) 472-1301 | Laura Gillas Llc 717 Sw Gilson St Mcminnville OR 97128-6913 Ph: (503) 472-1301 |
NPI Number | 1174764989 |
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Provider Enumeration Date | 03/09/2009 |
Last Update Date | 03/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174764989 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | L3682 (Oregon) | Primary |
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