NPI 1720343296 · live from the CMS NPI Registry
Gabriel K Andeen, MD
Family Medicine in Scappoose, OR. National Provider Identifier 1720343296, active.
NPI record
| NPI | 1720343296 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 51377 Sw Old Portland Rd Ste C, Scappoose, OR 97056 |
| Practice phone | 503-418-4222 |
| Mailing address | 720 8th Ave S., Seattle, WA 98104 |
| Enumerated | July 10, 2012 |
| Last updated | July 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | MD187010 (OR) |
| Family Medicine primary | 207Q00000X | MD60555323 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.