MAYA GILLAM L.M.T.
NPI 1811226665
Specialist in Beaverton, OR

Active since December 08, 2009
12555 SW 1ST ST, BEAVERTON, OR 97005(503) 619-6936 Get Directions Write a Review

NPPES record last updated: December 8, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maya Gillam L.m.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYA GILLAM L.M.T. (NPI 1811226665) is an individual specialist in Beaverton, Oregon, licensed in Oregon (14240) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1811226665
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMAYA GILLAMCredential: L.M.T.
Location Address12555 SW 1ST STBeaverton, OR 97005
Mailing Address12555 Sw First StBeaverton, OR 97005 · (503) 619-6936
Sole ProprietorYes
Enumeration DateDecember 8, 2009
NPI 1811226665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OR · 14240
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
12555 SW 1ST ST, Beaverton, OR 97005

Other Names 1

Former Name (1)Mrs. Maya Yurevich

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
12555 SW 1ST ST
BEAVERTON, OR 97005
Community/Behavioral Health
12555 SW 1ST ST
BEAVERTON, OR 97005
Counselor (Professional)
12555 SW 1ST ST
BEAVERTON, OR 97005
Massage Therapist
12555 SW 1ST ST
BEAVERTON, OR 97005
Social Worker (Clinical)
12555 SW 1ST ST
BEAVERTON, OR 97005
Counselor (Addiction (Substance Use Disorder))
12555 SW 1ST ST
BEAVERTON, OR 97005
Specialist
12555 SW 1ST ST
BEAVERTON, OR 97005
Acupuncturist
12555 SW 1ST ST
BEAVERTON, OR 97005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maya Gillam's NPI number?

The NPI number for Maya Gillam is 1811226665. It was assigned to this individual provider in the NPPES registry on December 8, 2009. The provider is also known as Mrs. Maya Yurevich.

Where is Maya Gillam located?

Maya Gillam practices at 12555 SW 1st St, Beaverton, OR 97005. The listed phone number is (503) 619-6936.

What is Maya Gillam's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Maya Gillam was last updated on December 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.