NPI 1003440009

Elise Gilmore

Practitioner Assistant Behavior Analyst Portland, OR

Practice location

Address: 707 NE Couch St, Portland, OR 97232-2922
Phone: (503) 542-4603
Fax: (503) 233-6093

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1003440009
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2020
Record last updated: 27 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.