Individual
DR. JIM ALAN GOSEWEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12123 SW 69TH AVE, TIGARD, OR 97223-8514
(971) 708-7600
(971) 371-5230
Mailing address
1498 SE TECH CENTER PL STE 240, VANCOUVER, WA 98683-5508
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
MD19412
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074919
—
OR
05
—
1014914
—
WA
Enumeration date
05/24/2005
Last updated
07/17/2023
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