Whalio Doctors

NPI 1215993845

Michael Paul Gardner, MD

Practitioner Urology Physician Tualatin, OR

Practice location

Address
19260 SW 65th Ave Suite 400, Tualatin, OR 97062-5701
Phone
(503) 692-1200
Fax
(503) 692-1220

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD22270 (OR)

Registry record

NPI
1215993845
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Apr 2006
Record last updated
9 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.