Individual
MR. JONATHAN WILLIAM GIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
SUNSET KAISER CLINIC, 10060 NE EVERGREEN PARKWAY, HILLSBORO, OR 97124-1196
(503) 813-2000
Mailing address
1209 MOUNTAIN VIEW DR, FOREST GROVE, OR 97116-3301
(503) 359-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00694
OR
Other
Enumeration date
12/23/2005
Last updated
12/30/2021
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