NPI 1215993845
Michael Paul Gardner, MD
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
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.