Whalio Doctors

NPI 1255863544

Daniel Fitzgerald Gardner, MD

Practitioner Surgery Physician Tualatin, OR

Practice location

Address
19250 SW 65th Ave STE 235, Tualatin, OR 97062-7745
Phone
(503) 692-5650
Fax
(503) 692-7903
Mailing address
541 NE 20th Ave STE 225, Portland, OR 97232-2895

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD211065 (OR)

Registry record

NPI
1255863544
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Mar 2017
Record last updated
12 Nov 2024

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.