Individual
PATRICK JOSEPH MCGOWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24900 SE STARK ST, STE 202, GRESHAM, OR 97030
(503) 465-8887
(503) 465-8808
Mailing address
2222 NW LOVEJOY ST, STE 505, PORTLAND, OR 97210-5103
(503) 242-9850
(503) 226-3539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18852
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064944
—
OR
Enumeration date
08/07/2006
Last updated
05/12/2017
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