Individual
MR. COLIN A. GERSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P., M.P.H.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7500
(503) 494-4997
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7500
(503) 494-4997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
357654
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
201609181NP
OR
363LA2200X
Adult Health Nurse Practitioner
21035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060012
—
AZ
Enumeration date
03/09/2011
Last updated
07/31/2025
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