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Contact Information

DAVID E GANNETT JR, MD
9205 SW BARNES RD
PORTLAND, OR97225-6603
 Phone: 503-216-2195
 Fax: 503-216-2196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for DAVID E GANNETT JR · (Male)

NPI Number 1467454165
Status Active
Credentials MD
Entity Individual
Enumeration date 08/11/2005
Last updated 09/16/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD20984
  • OR Medicaid 150948
  • WA Medicaid 8220857
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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