Individual
GORDON PAUL CANZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 NE ROBERTS AVE, GRESHAM, OR 97030-7464
(503) 665-9144
(503) 665-6404
Mailing address
400 NE ROBERTS AVE, GRESHAM, OR 97030-7464
(503) 665-9144
(503) 665-6404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO15150
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205823
—
OR
Enumeration date
09/23/2005
Last updated
10/10/2007
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