Individual provider · Type 1 NPI

Harley Elijah Gossen, DO

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1649166307 Active

Practice location

1111 W 17th St
Tulsa, OK 74107-1886

Call (405) 437-6140 Map

Mailing address

1013 Justin Dr
Yukon, OK 73099-2178

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649166307

Harley Elijah Gossen, DO's National Provider Identifier is 1649166307, issued on Jun 17, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Jun 17, 2025.