Individual
DAVID JOSEPH GAHTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1919 NW LOVEJOY ST, PORTLAND, OR 97209-1503
(509) 415-5600
Mailing address
15271 SE THORNTON DR, MILWAUKIE, OR 97267-2552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01015
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500603044
—
OR
01
—
P00464824
RR MEDICARE
OR
Enumeration date
02/23/2006
Last updated
04/10/2024
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