Individual
GELAR PAUL NOCON BISCARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
475 S COLUMBIA RIVER HWY STE 100, SAINT HELENS, OR 97051-2860
(503) 397-0471
(503) 366-3014
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO195946
OR
207Q00000X
Family Medicine Physician
OL60386631
WA
207Q00000X
Family Medicine Physician
OP60683758
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760821664
—
WA
01
—
2039121
MEDICAID PROVIDER ONE ID
WA
Enumeration date
06/24/2013
Last updated
03/04/2020
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