Individual provider · Type 1 NPI

Gabriel P. Owens, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1972522852 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239

Call (503) 494-7641 Map

Fax (503) 494-8368

Mailing address

3181 SW Sam Jackson Park Rd., Mail Code SJH-2
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA187333 (OR)
Physician Assistant 363A00000XPA01858 (TX)
Physician Assistant 363A00000XPA60310501 (WA)
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1972522852

Gabriel P. Owens, PA-C's National Provider Identifier is 1972522852, issued on Jul 19, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jan 25, 2021.