Individual
STEPHEN G. GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5626
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4314
(503) 346-6810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00878
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227435
—
OR
Enumeration date
08/03/2006
Last updated
03/14/2022
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