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Individual

DR. PATRICK JAMES GASTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9205 SW BARNES RD, FIRST FLOOR, PORTLAND, OR 97225-6603
(503) 216-2906
(503) 216-4114
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD28448
OR
208M00000X
Hospitalist Physician
Primary
MD28448
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
025043
OR
01
P00716681
RR MEDICARE - PH&S - OREGON (PMG)
OR
Enumeration date
05/16/2007
Last updated
07/27/2021
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