Individual
DR. JAMES MICHAEL GURTISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
226 E HISTORIC COLUMBIA RIVER HWY, TROUTDALE, OR 97060-2069
(503) 492-3897
(503) 665-4137
Mailing address
226 E HISTORIC COLUMBIA RIVER HWY, TROUTDALE, OR 97060-2069
(503) 492-3897
(503) 665-4137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2320ATI
OR
152W00000X
Optometrist
OD00001998
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031497
—
OR
05
—
2019628
—
WA
Enumeration date
05/10/2007
Last updated
06/13/2011
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