Individual
PAUL GERHARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9860 SW HALL BLVD, SUITE C-2, TIGARD, OR 97223-8896
(503) 313-8366
(866) 859-9183
Mailing address
11306 NE 34TH CT, VANCOUVER, WA 98686-4376
(503) 313-8366
(866) 859-9183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7444
OR
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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