Individual
JON DOUGLAS GAMBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
115 S PINE ST, CANYONVILLE, OR 97417-9648
(541) 839-4211
(541) 839-4983
Mailing address
PO BOX 888, 115 S PINE STREET, CANYONVILLE, OR 97417-0888
(541) 839-4211
(541) 839-4983
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00791
OR
Other
Enumeration date
02/08/2006
Last updated
01/20/2016
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