Individual
MISS GABRIELLE ENGELHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035
(503) 850-9940
(877) 533-6717
Mailing address
4103 MERCANTILE DR, LAKE OSWEGO, OR 97035-2556
(503) 850-9940
(877) 533-6717
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA179892
OR
Other
Enumeration date
11/03/2016
Last updated
10/08/2024
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