MICHAEL P. GARDNER, M.D.
Urology at 65 Ave, Tualatin, OR

License number
Oregon MD2270
Category
Radiology
Type
Urology
Owner
Name: MICHAEL P. GARDNER M.D.
Title: OWNER/PRESIDENT
Phone: (503) 692-1200
Address
Address
19260 SW 65Th Ave STE 400, Tualatin, OR 97062
National Provider ID: 1871950030
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MICHAEL P. GARDNER, M.D. at bizstanding.com

MICHAEL P. GARDNER, M.D., PC

19260 SW 65 Ave STE 400, Tualatin, OR 97062

Industry:
Medical Doctor's Office
Registration:
Oct 18, 2007
State ID:
47151790
Business type:
Domestic Professional Corporation
Urologys:
Michael Gardner (Manager, Medical Doctor, Urology),James F. Tycast Urology, inactive,Jean F. Tycast Urology, inactive
Agent:
Michael Pgardner,19260 SW 65 Ave STE 400, Tualatin, OR 97062 (Physical)

MICHAEL P. GARDNER MD & JEREMIAH C. MURPHY MD. LLC

19260 SW 65 Ave STE 400, Tualatin, OR 97062

Registration:
Aug 5, 2014
State ID:
103886594
Business type:
Domestic Limited Liability Company
Agent:
Michael Pgardner,19260 SW 65 Ave STE 400, Tualatin, OR 97062 (Physical)

Urology licenses in Oregon




Other Doctors licenses in Oregon