JAY GANTZ M.D./Ph.D.
Individual Provider (NPI-1)
Active
Otolaryngology, Otology & Neurotology
Provider Information
- NPI Number
1629459300- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D./Ph.D.
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-8510
- Fax
- (503) 494-4631
Specialties & Taxonomies
Otolaryngology
License: MO #XXXXXXXX
Otolaryngology, Otology & Neurotology
Primary License: OR #MD210112