Individual
BRET GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 VILLAGE DR, COTTAGE GROVE, OR 97424-9700
(541) 767-5222
(541) 767-5230
Mailing address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
207P00000X
Emergency Medicine Physician
17615
CA
207P00000X
Emergency Medicine Physician
Primary
DO213442
OR
Other
Enumeration date
04/12/2018
Last updated
08/21/2023
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