SearchOregon363A00000X

Gabriel Smith, PA-C

NPI 1306121512 · on the registry since 2011 · sole proprietor

Practice

Address
1834 Ne Hancock St
Apartment 4
Portland, OR 97212
Phone
(503) 209-4877

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-19

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 Oregon