Individual
GARTH DAVID MECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
OHSU DEPARTMENT OF EMERGENCY MEDICINE CDW EM, 3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239-3098
(503) 494-7123
(503) 494-4997
Mailing address
935 SE 16TH AVE APT 7, PORTLAND, OR 97214-2666
(503) 432-8451
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
A79353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A793530
—
CA
Enumeration date
10/04/2006
Last updated
07/08/2007
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