Milligan, Gordon D

Milligan, Gordon D is an sole proprietor health care provider with primary practice located at 2318 Ne Martin Luther King Jr Blvd , Portland OR 97212-3715. He recently has 3 registered licenses in different health care specialties including Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Milligan, Gordon D can be contacted via phone (503) 335-8611.

Contact Information

Primary practice address
2318 Ne Martin Luther King Jr Blvd Portland OR 97212-3715
Phone: (503) 335-8611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 10-03-24 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10-03-24 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 10-03-24 Oregon

Profile Details

NPI number 1770989840
LBN Legal business name Milligan, Gordon D
Credentials CADC I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2014
Last updated Jul 8th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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