Individual
DR. GERALD MARLIN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1105 PORTLAND AVE, SUITE 2, GLADSTONE, OR 97027-2170
(503) 655-2404
(503) 655-1581
Mailing address
1105 PORTLAND AVE, SUITE 2, GLADSTONE, OR 97027-2170
(503) 655-2404
(503) 655-1581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11183
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059543
—
OR
Enumeration date
05/11/2006
Last updated
02/22/2008
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