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Individual

DR. BENNETT GERTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225-5104
(503) 672-7857
Mailing address
1675 SW MARLOW AVE, SUITE 200, PORTLAND, OR 97225-5104
(503) 228-6479

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
MD151683
OR

Other

Enumeration date
06/12/2008
Last updated
02/20/2012
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