Overview
No Referral Sources
No Referral Destinations
Practice Locations 1 Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011 US
PECOS Enrolled

Gaelen B Stanford-Moore

Otolaryngologist (Otolaryngology/Facial Plastic Surgery)


Gaelen B Stanford-Moore

Overview

Gaelen B Stanford-Moore is a Otolaryngologist (Otolaryngology/Facial Plastic Surgery) in the PORTLAND area. Gaelen B Stanford-Moore primary office location is at 3181 SW SAM JACKSON PARK RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1891284014 and the information was updated approximately 2 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011 US
Phone: (503)-494-8510
Fax:
Practice Mailing Information
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011 US
Phone: (503)-494-8510
Fax: (503)-494-4631
License Number State
MD214594 OR