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Search › Washington › 207R00000X

Ozone Gautam, MD

NPI 1053042366 · on the registry since 2022

Practice

Address
2211 Ne 139th St
Vancouver, WA 98686
Phone
(360) 487-1168
Fax
(503) 413-7361
Organisation at this address
Showland Medical Llc
Legacy Salmon Creek Hospital
Legacy Salmon Creek Hospital
Legacy Salmon Creek Hospital
Cascade Pathology Services, Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
153

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
Licence states on file
WA, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington