Individual
GAGE SOLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8425 N. LOMBARD ST, PORTLAND, OR 97203
(503) 283-4776
Mailing address
1005 SE 209TH AVE, GRESHAM, OR 97030-2239
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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