Individual
ETHAN GLADHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24988 SE STARK ST STE 220, GRESHAM, OR 97030-8324
(503) 674-1580
(503) 674-1581
Mailing address
PO BOX 4365, PORTLAND, OR 97208-4365
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA223756
OR
Other
Enumeration date
10/18/2023
Last updated
02/07/2025
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