Individual
GABRIEL P OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 494-7641
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD., MAIL CODE SJH-2, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01858
TX
363A00000X
Physician Assistant
PA187333
OR
363A00000X
Physician Assistant
PA60310501
WA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182832901
—
TX
05
—
182832902
—
TX
01
—
P00373131
MEDICARE RAILROAD
TX
Enumeration date
07/19/2006
Last updated
01/25/2021
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