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Individual

PANKAJ GORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9155 SW BARNES RD STE 440, PORTLAND, OR 97225-6631
(503) 935-8500
(503) 935-8505
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD28449
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
026301
OR
05
1922288992
WA
Enumeration date
11/07/2007
Last updated
11/22/2023
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