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General NPI Number Information
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NPI Number | 1720428386
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Entity Type | Individual
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Provider Name | AARON GILSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2013
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 10201 SE MAIN ST STE 20
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City | PORTLAND
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State | OR
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Zip | 97216-2937
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Country | US
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Telephone | 503-897-8999
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Fax | 503-253-0856
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Provider Business Mailing Address
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Address Line | 10201 SE MAIN ST STE 20
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City | PORTLAND
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State | OR
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Zip | 97216-2937
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Country | US
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Telephone | 503-253-3458
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | DO203270
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 3455
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | OP61265139
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | DO203270
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License Number State | OR
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