Individual
DR. GWENDOLYN B OKEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1100
(503) 494-1110
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1100
(503) 494-1110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD205744
OR
207R00000X
Internal Medicine Physician
MD60055138
WA
2083C0008X
Clinical Informatics Physician
MD205744
OR
208M00000X
Hospitalist Physician
Primary
MD205744
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477505105
—
WA
01
—
8968047
MEDICARE PIN
WA
Enumeration date
05/17/2006
Last updated
04/10/2024
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