Gaston, Anthony Dale

Gaston, Anthony Dale is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 333 , Portland OR 97225-6630. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gaston, Anthony Dale can be contacted via phone (503) 216-5102.

Contact Information

Primary practice address
9155 Sw Barnes Rd Ste 333 Portland OR 97225-6630
Phone: (503) 216-5102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 17997 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 1214 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201508082NP-PP Oregon

Profile Details

NPI number 1588979553
LBN Legal business name Gaston, Anthony Dale
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2010
Last updated Mar 9th, 2021 - about 3 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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