Individual
DR. STEPHEN T GANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 285-9321
Mailing address
2315 SE SILVER SPRINGS RD, MILWAUKIE, OR 97222-8718
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD 13029
OR
2084N0400X
Neurology Physician
MD00034966
WA
Other
Enumeration date
08/24/2006
Last updated
02/04/2022
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