Individual
DR. GARY ALLEN WARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 NW 22ND AVE, SUITE 320, PORTLAND, OR 97210-3057
(503) 413-6294
(503) 413-7780
Mailing address
1040 NW 22ND AVE, SUITE 320, PORTLAND, OR 97210-3057
(503) 413-6294
(503) 413-7780
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD09061
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270306
—
OR
Enumeration date
12/14/2005
Last updated
07/08/2007
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