Individual provider · Type 1 NPI

Brooks Robert Gaston

Nurse Practitioner · Portland, OR

NPI number 1497050801 Active

Practice location

9000 N Lombard St
Portland, OR 97203-3006

Fax (503) 988-5305

Mailing address

421 SW Oak St, Ste. 210
Portland, OR 97204-1817

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse 163WC1500X201150091NP (OR)
Nurse Practitioner Primary 363L00000X201150091NP (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 1497050801

Brooks Robert Gaston's National Provider Identifier is 1497050801, issued on Jan 14, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, OR. The record was last updated on Jan 14, 2013.