Provider Demographics
NPI:1376791087
Name:GILLIES, HEATHER ANNE BISENIUS (MA - COUNSELING)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ANNE BISENIUS
Last Name:GILLIES
Suffix:
Gender:F
Credentials:MA - COUNSELING
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:ANNE
Other - Last Name:BISENIUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA-COUNSELING
Mailing Address - Street 1:2051 KAEN RD
Mailing Address - Street 2:SUITE 367
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-4035
Mailing Address - Country:US
Mailing Address - Phone:503-742-5300
Mailing Address - Fax:503-742-5352
Practice Address - Street 1:998 LIBRARY CT
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-4041
Practice Address - Country:US
Practice Address - Phone:503-655-8401
Practice Address - Fax:503-655-8429
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor