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Individual

DR. JAMES ANTHONY GAUDINO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9061 SW 38TH AVE, PORTLAND, OR 97219-5382
(503) 522-4122
Mailing address
9061 SW 38TH AVE, PORTLAND, OR 97219-5382
(503) 522-4122

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
G58387
CA
2083P0901X
Public Health & General Preventive Medicine Physician
MD00033417
WA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD24847
OR

Other

Enumeration date
05/05/2016
Last updated
05/05/2016
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