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1043684889
MICHAEL P. GARDNER, MD PC
TUALATIN, OR
NPI
1043684889
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Entity Type
Organization
Authorized Contact
SHELLY BANTA
Office Manager
503-783-0208
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: OR MD22270)
Enumeration Date
2015-11-17
Last Update Date
2020-01-29
Business Address
MICHAEL P. GARDNER, MD PC
19260 SW 65TH AVE STE 310
TUALATIN, OR 97062-5710
Phone number: 503-692-1200
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Mailing Address
MICHAEL P. GARDNER, MD PC
19260 SW 65TH AVE STE 310
TUALATIN, OR 97062-5710
Phone number: 503-692-1200
Copy
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