person
Dr. Gaelen B Stanford-moore, MD,MPHIL
Otolaryngology/Facial Plastic Surgery Physician in Portland, Oregon
NPI 1891284014

Gaelen B Stanford-moore is a Otolaryngology/Facial Plastic Surgery Physician based in Portland, OR and is specialized in Otolaryngology/Facial Plastic Surgery. Gaelen B Stanford-moore practices in Portland, OR and has the professional credentials of MD,MPHIL. The NPI Number for Gaelen B Stanford-moore is 1891284014 and holds a License No. (Oregon).

The current practice location address for Gaelen B Stanford-moore is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-8510 and via fax at 503-494-4631. You can also correspond with Gaelen B Stanford-moore through the mailing address at 3181 SW SAM JACKSON PARK RD, PORTLAND, OR - 97239-3011 (mailing address contact number: 503-494-8510).

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
person
Provider Profile Details
NPI Number
1891284014
Provider Name
Gaelen B Stanford-moore
Credential
MD,MPHIL
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-8510
Fax Number
503-494-4631
Provider Enumeration Date
05/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8510
Fax Number
503-494-4631
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-8510
Fax Number
503-494-4631
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
MD214594 (Oregon)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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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