Individual
DR. SAMUEL GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
4339 NE 115TH AVE, PORTLAND, OR 97220-1409
(413) 727-2197
Mailing address
4339 NE 115TH AVE, PORTLAND, OR 97220-1409
(413) 727-2197
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
483228
OR
Other
Enumeration date
08/23/2022
Last updated
11/22/2022
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