Individual
MARCUS QUINTON GABRIEL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 300-4111
Mailing address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 300-4111
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202011094NP-PP
OR
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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