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General NPI Number Information
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NPI Number | 1639058605
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Entity Type | Individual
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Provider Name | GILLIAN M SMITH
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Gender | Female
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 9320 SW BARBUR BLVD STE 280
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City | PORTLAND
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State | OR
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Zip | 97219-5438
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Country | US
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Telephone | 971-202-0723
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Fax |
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Provider Business Mailing Address
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Address Line | 5316 N MISSOURI AVE
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City | PORTLAND
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State | OR
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Zip | 97217-2546
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Country | US
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Telephone | 503-462-4603
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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