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Individual

DR. JOSH GEPNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
412 A AVE STE 200, LAKE OSWEGO, OR 97034-3078
(503) 635-2496
(503) 635-2497
Mailing address
PO BOX 6689, PORTLAND, OR 97228-6689

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD154668
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500642083
OR
Enumeration date
12/01/2008
Last updated
01/26/2018
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