JAKE GARDNER HERBERT

PORTLAND, OR
NPI1831831981
Former NameJAKE GARDNER AMES
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: OR  DO225599)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OR  DO225599)
Enumeration Date2022-04-10
Last Update Date2026-02-26
Business Address
JAKE GARDNER HERBERT DO
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-1164
Mailing Address
JAKE GARDNER HERBERT DO
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-1164