Individual
DR. KENNETH ROBERT GUNDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OHSU, DEPARTMENT OF ORTHOPAEDICS & REHABILITATION, OP31, PORTLAND, OR 97239-3011
(503) 494-6400
(503) 494-5050
Mailing address
3181 SW SAM JACKSON PARK RD, OHSU, DEPARTMENT OF ORTHOPAEDICS & REHABILITATION, OP31, PORTLAND, OR 97239-3011
(503) 494-6400
(503) 494-5050
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD176803
OR
Other
Enumeration date
03/21/2010
Last updated
05/10/2016
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