JOSEPH WILLIAM GILLAM LMT
NPI 1891458980
Massage Therapist in Portland, OR

Q: What is Joseph Gillam's NPI number?

The NPI number for Joseph Gillam is 1891458980. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Q: What is Joseph Gillam's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Gillam was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 15, 2021

8311 SE 13TH AVE STE A, PORTLAND, OR 97202(971) 202-0554 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Joseph William Gillam Lmt NPPES

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

JOSEPH WILLIAM GILLAM LMT (NPI 1891458980) is an individual massage therapist in Portland, Oregon, licensed in Oregon (23871) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1891458980

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameJOSEPH WILLIAM GILLAMCredential: LMT

Location Address8311 SE 13TH AVE STE APortland, OR 97202-7170

Mailing Address8624 Se 17th Ave Apt 203Portland, OR 97202-7387 · (607) 793-3193

Phone(971) 202-0554

Sole ProprietorYes

Enumeration DateOctober 15, 2021

NPPES CertifiedOctober 15, 2021

✔ NPI 1891458980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in OR · 23871

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

8311 SE 13TH AVE STE A, Portland, OR 97202

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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 Joseph Gillam's NPI number?

The NPI number for Joseph Gillam is 1891458980. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Joseph Gillam located?

Joseph Gillam practices at 8311 SE 13th Ave Ste A, Portland, OR 97202. The listed phone number is (971) 202-0554.

What is Joseph Gillam's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Joseph Gillam was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.