GAVIN JOHN BUSH

PORTLAND, OR
NPI1346670957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA164984)
Enumeration Date2013-11-18
Last Update Date2020-10-20
Business Address
GAVIN JOHN BUSH PA-C
5050 NE HOYT ST STE 511
PORTLAND, OR 97213-2984
Phone number: 503-962-1020
Mailing Address
GAVIN JOHN BUSH PA-C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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