Individual
DR. DAVID GISSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2846 NW ARIEL TER, PORTLAND, OR 97210-3119
(775) 883-2202
(775) 883-0797
Mailing address
2846 NW ARIEL TER, PORTLAND, OR 97210-3119
(775) 315-4128
(775) 883-0797
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5549
NV
207L00000X
Anesthesiology Physician
G54203
CA
207L00000X
Anesthesiology Physician
Primary
MD158172
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050007310
RAILROAD MEDICARE
—
05
—
2013014
—
NV
Enumeration date
07/28/2006
Last updated
11/03/2017
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