Organization · Type 2 NPI

Michael P. Gardner, MD PC

Clinic/Center · Tualatin, OR

NPI number 1043684889 Active

Practice location

19260 SW 65th Ave Ste 310
Tualatin, OR 97062-5710

Call (503) 692-1200 Map

Fax (503) 692-1220

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XMD22270 (OR)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1043684889

Michael P. Gardner, MD PC's National Provider Identifier is 1043684889, issued on Nov 17, 2015. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Tualatin, OR. The record was last updated on Jan 29, 2020.