Individual
PATRICIA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3034 NE MLK JR BLVD, PORTLAND, OR 97212-3053
(503) 936-5542
(503) 735-0912
Mailing address
3034 NE MLK JR BLVD, PORTLAND, OR 97212-3053
(503) 936-5542
(503) 735-0912
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD00040428
WA
2084P0800X
Psychiatry Physician
Primary
MD17033
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8189995
—
WA
Enumeration date
11/28/2006
Last updated
11/04/2020
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