Gahtan, David Joseph
Gahtan, David Joseph is an individual health care provider with primary practice located at 1919 Nw Lovejoy St , Portland OR 97209-1503. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Gahtan, David Joseph can be contacted via phone (509) 415-5600.Contact Information
Primary practice address
1919 Nw Lovejoy St
Portland OR 97209-1503
Phone: (509) 415-5600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01015 | Oregon |
Profile Details
NPI number | 1215903059 |
---|---|
LBN Legal business name | Gahtan, David Joseph |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2006 |
Last updated | Apr 10th, 2024 - about 8 months 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 | 1215903059 | NPPES |
Oregon | Other | P00464824 | RR MEDICARE |
Oregon | MEDICAID | 500603044 | RR MEDICARE |
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