# OSTEOPATHIC PDX, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821369430
- **Authorized official:** GREGORY JOHN ESMER D.O. (OWNER)
- **Authorized official phone:** (503) 970-2303

## Contact information

- **Practice address:** 4039 N MISSISSIPPI AVE STE 203, PORTLAND, OR 97227-1477
- **Practice address phone:** (503) 970-2303
- **Practice address fax:** (503) 719-7591
- **Mailing address:** 4039 N MISSISSIPPI AVE STE 203, PORTLAND, OR 97227-1477
- **Mailing address phone:** (503) 970-2303
- **Mailing address fax:** (503) 719-7591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | DO26929 | OR | Yes |

## Other

- **Enumeration date:** 01/13/2012
- **Last updated:** 01/13/2012