Michael P. Gardner, MD PC

NPI #1043684889 in Tualatin, Oregon

Provider Information

NPI Number: 1043684889
Entity Type: Organization
Organization Name: Michael P. Gardner, MD PC
Primary Specialty: Clinic/Center
Enumeration Date: Nov 17, 2015
Last Updated: Jan 29, 2020

Practice Location

Address: 19260 SW 65TH AVE STE 310
City: Tualatin
State: Oregon
ZIP Code: 97062-5710
Phone: (503) 692-1200

Authorized Official

Name: SHELLY BANTA
Title: OFFICE MANAGER
Phone: (503) 783-0208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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