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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215903059 NPPES
Oregon Other P00464824 RR MEDICARE
Oregon MEDICAID 500603044 RR MEDICARE

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