Individual
MR. JAMES M GHORMLEY SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
12501 NE 12TH ST, VANCOUVER, WA 98684-5711
(360) 256-8204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00339
OR
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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