Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811226665 Individual Practitioner Female Practitioner

Maya Gillam , LMT

Specialist • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Maya Gillam, LMT is a registered healthcare professional specializing in Specialist in Beaverton, OR. Practice services are available at 12555 SW 1ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12555 Sw 1st St

Beaverton, OR 97005

Telephone 5036196936
Associated Practice Facility / Clinic
🏢 Healthy Notions, Llc Facility NPI 1770965857

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.5 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Beaverton, OR (1153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OR 14240

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Aumkara Newhouse , LMT

Massage Therapist

NPI 1104289891

Licensed Massage Therapist

NPI 1356613418

Doctor of Naturopathic Medicine, BHMS

Deborah Cairns , LPC

Counselor - Professional

NPI 1356615629

Licensed Professional Counselor

Robert Chellew , LMT

Massage Therapist

NPI 1356765150

Licensed Massage Therapist

Donald Toomim , LMT

Massage Therapist

NPI 1578821435

Licensed Massage Therapist

Andrew Rose , LCSW

Social Worker - Clinical

NPI 1699046862

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2009

Registered at 12555 SW 1ST ST, BEAVERTON, OR 97005 (Tel: 5036196936)

📍
Updated Business Mailing Address December 08, 2009

Registered at 12555 SW FIRST ST, BEAVERTON, OR 97005 (Tel: 5036196936)

👤
Provider Name / Credentials Updated December 08, 2009

Recorded as MAYA GILLAM, L.M.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2009

Specialist (License #14240 in OR)

🟢
Initial NPI Registration & Enumeration December 08, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811226665
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2009
Last Update: December 08, 2009
Sole Proprietor: Yes

Mailing Address

12555 Sw First St

Beaverton, OR 97005

Phone: 5036196936

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.