Moran, Gayle Margaret
Moran, Gayle Margaret is an individual health care provider with primary practice located at 5100 Sw Macadam Ave Suite 200, Portland OR 97239-6102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Moran, Gayle Margaret can be contacted via phone (971) 202-5500.Contact Information
Primary practice address
5100 Sw Macadam Ave Suite 200
Portland OR 97239-6102
Phone: (971) 202-5500
Fax: (971) 202-5555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 098006088N3 ANP-PP | Oregon |
Profile Details
| NPI number | 1912941667 |
|---|---|
| LBN Legal business name | Moran, Gayle Margaret |
| Credentials | ADULT NURSE PRACTITI |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jan 23rd, 2013 - about 11 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 | 1912941667 | NPPES |
| Oregon | MEDICAID | 287406 | |
| Oregon | Other | GM01 067593003 |
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