Individual
DR. GREGORY RAY FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # SJH2, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD # SJH2, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO182079
OR
Other
Enumeration date
06/13/2008
Last updated
07/21/2022
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