Individual provider · Type 1 NPI
Joseph Patrick Gorham, NP
Nurse Practitioner · Portland, OR
Practice location
12360 E Burnside St
Portland, OR 97233-1042
Fax (971) 279-2051
Mailing address
211 SE Caruthers St
Portland, OR 97214-4502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN61413352 (WA) |
| Registered Nurse | 163W00000X | 202212803RN (OR) |
| Family Nurse Practitioner | 363LF0000X | AP61415360 (WA) |
| Nurse Practitioner Primary | 363L00000X | 202214982NP-PP (OR) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1376267674
Joseph Patrick Gorham, NP's National Provider Identifier is 1376267674, issued on Sep 29, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, OR. The record was last updated on Mar 18, 2025.