Individual
DR. GILBERT C CHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD, 336, PORTLAND, OR 97225-6625
(503) 292-0848
(503) 296-0635
Mailing address
6420 SW MACADAM AVE, SUITE 216, PORTLAND, OR 97239-3507
(503) 244-8601
(503) 244-8738
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD11128
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
066159
—
OR
01
—
180015176
RAILROAD MEDICARE
OR
Enumeration date
08/12/2005
Last updated
05/28/2008
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