Canzler, Gordon Paul
Canzler, Gordon Paul is an individual health care provider with primary practice located at 400 Ne Roberts Ave , Gresham OR 97030-7464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Canzler, Gordon Paul can be contacted via phone (503) 665-9144.Contact Information
Primary practice address
400 Ne Roberts Ave
Gresham OR 97030-7464
Phone: (503) 665-9144
Fax: (503) 665-6404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO15150 | Oregon |
Profile Details
| NPI number | 1114913183 |
|---|---|
| LBN Legal business name | Canzler, Gordon Paul |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Oct 10th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114913183 | NPPES |
| Oregon | MEDICAID | 205823 |
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