David Joseph Gahtan in Portland - Physician Assistant

David Joseph Gahtan - NPI 1215903059

David Joseph Gahtan is a Physician Assistant in Portland, Oregon. David Joseph Gahtan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David Joseph Gahtan is 1215903059. The last update date is 2012-10-10.

David Joseph Gahtan's current location address is 1321 Ne 99th Ave, Portland, Oregon. You can contact this provider via phone number 5032154250 and fax number 5032153348. The mailing address for David Joseph Gahtan is 1321 Ne 99th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name David Joseph Gahtan
Address 1321 Ne 99th Ave, Portland, Oregon
Phone Number 5032154250
Fax Number 5032153348
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1215903059
Provider Enumeration Date 2006-02-23
Last Updated Date 2012-10-10

Provider Mailing Address Detail

Address 1321 Ne 99th Ave
City Portland
State Oregon (OR)
Post Code 972209436
Phone Number 5032154250
Fax Number 5032153348

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA01015
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500603044 OR --
P00464824 OR RR MEDICARE

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FAQs about David Joseph Gahtan

What is the unique 10-digit identification code issued to David Joseph Gahtan by the Centers for Medicare & Medicaid Services?

The David Joseph Gahtan has been assigned the NPI (National Provider Identifier) 1215903059 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the David Joseph Gahtan located?

The David Joseph Gahtan is located at 1321 Ne 99Th Ave, Portland, OR 972209436.

What is David Joseph Gahtan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for David Joseph Gahtan is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1215903059 to David Joseph Gahtan?

The David Joseph Gahtan received its 1215903059 assignment from the Centers for Medicare & Medicaid Services on 2006-02-23.

As of what date were the details pertaining to David Joseph Gahtan last refreshed?

The information related to the David Joseph Gahtan, including its address, specialty, and other relevant details, was last updated on 2012-10-10.

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