Healthcare Provider Details

I. General information

NPI: 1336206317
Provider Name (Legal Business Name): DR. STEVEN GARDNER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14000 SE JOHNSON RD STE 110
MILWAUKIE OR
97267-2316
US

IV. Provider business mailing address

14000 SE JOHNSON RD STE 110
MILWAUKIE OR
97267-2316
US

V. Phone/Fax

Practice location:
  • Phone: 503-786-7272
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number27 1337
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number0838
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: