Individual
PAUL GOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3635 NE ALAMEDA ST, PORTLAND, OR 97212-1812
(360) 750-3220
(360) 735-3400
Mailing address
3635 NE ALAMEDA ST, PORTLAND, OR 97212-1812
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD00040249
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD21370
OR
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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