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Search › Oregon › 363L00000X

Brooks Gaston

NPI 1497050801 · on the registry since 2011 · sole proprietor

Practice

Address
9000 N Lombard St
Portland, OR 97203
Phone
(503) 988-5304
Fax
(503) 988-5305
Organisation at this address
Multnomah County
Multnomah County
Multnomah County
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
163WC1500X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-01-14

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