Individual
GERALD I FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2455 NW MARSHALL ST, SUITE 5, PORTLAND, OR 97210-2949
(503) 224-7395
(503) 223-5802
Mailing address
2455 NW MARSHALL ST, SUITE 5, PORTLAND, OR 97210
(503) 224-7395
(503) 223-5802
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
19867
OR
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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