Dr. Gaelen B Stanford-moore, MD, MPHIL - Portland, OR

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.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011

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

Address

3181 Sw Sam Jackson Park Rd

City

Portland

State

Oregon

Zip

97239-3011

Phone Number

503-494-8510

Fax Number

503-494-4631

Address

3181 Sw Sam Jackson Park Rd

City

Portland

State

Oregon

Zip

97239-3011

Phone Number

503-494-8510

Fax Number

503-494-4631

Type

Allopathic & Osteopathic Physicians

Classification

Otolaryngology

Speciality

Otolaryngology/Facial Plastic Surgery

Taxonomy

207YX0905X

License No.

MD214594 (Oregon)

Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

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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