Individual
PAUL PODETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24900 SE STARK ST STE 205, GRESHAM, OR 97030-3382
(503) 665-1010
(503) 665-1023
Mailing address
24900 SE STARK ST STE 205, GRESHAM, OR 97030-3382
(503) 665-1010
(503) 665-1023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD18120
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120977
—
OR
Enumeration date
12/06/2006
Last updated
04/15/2026
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