Individual
MR. GARY ALLEN GELARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1030 NE COUCH ST, PORTLAND, OR 97232-3067
(503) 239-8400
(503) 239-8406
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(971) 271-8268
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
090006763N3
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
090006763N3 ANP-PP
OR
Other
Enumeration date
12/12/2007
Last updated
11/09/2021
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