Organization
MICHAEL P. GARDNER, MD PC
Active
Other names
Oregon Urology Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY BANTA (OFFICE MANAGER)
(503) 334-5958
Entity
Organization
Contact information
Practice address
19260 SW 65TH AVE STE 310, TUALATIN, OR 97062-5710
(503) 692-1200
(503) 692-1220
Mailing address
19260 SW 65TH AVE STE 310, TUALATIN, OR 97062-5710
(503) 692-1200
(503) 692-1220
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD22270
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
288387
OMAP NUMBER
—
05
—
288387
—
OR
Enumeration date
11/23/2007
Last updated
01/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us