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TERENA D GIMMILLARO DO

Individual Provider (NPI-1) Active

Family Medicine

Provider Information

NPI Number
1235574955
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
4805 NE GLISAN ST, PORTLAND, OR, 972132933
Phone
(503) 215-4860

Specialties & Taxonomies

Family Medicine, Addiction Medicine License: OR #DO173630
Family Medicine Primary License: OR #DO173630

All Addresses

LOCATION

4805 NE GLISAN ST

PORTLAND, OR, 972132933

(503) 215-4860

MAILING

PO BOX 3158

PORTLAND, OR, 972083158