Individual
IAN MCALLISTER GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
9900 SW GREENBURG RD, TIGARD, OR 97223-5502
(503) 223-6251
Mailing address
2386 SW VERMONT ST APT 26, PORTLAND, OR 97219-1975
(206) 718-0950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201705176RN
OR
Other
Enumeration date
11/03/2018
Last updated
11/03/2018
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