Individual
JOHN M GUNSELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5050 NE HOYT ST STE 210, PORTLAND, OR 97213-2980
(503) 215-7628
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DO171400
OR
Other
Enumeration date
06/29/2009
Last updated
02/12/2021
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