Individual
GISELA PORRAS SERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 N GANTENBEIN AVE STE 2225, PORTLAND, OR 97227-1623
(503) 413-4505
(503) 413-4719
Mailing address
9830 NE CASCADES PKWY STE 200, PORTLAND, OR 97220-6834
(503) 239-8101
(503) 234-0924
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
MD12902
RI
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD168845
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD12902
LICENSE
RI
01
—
MD168845
MEDICAL LICENSE
OR
Enumeration date
04/23/2007
Last updated
07/21/2022
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