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NPI Code Detail

MEDICARE: CHRISTINE GORSEK

MEDICARE:   CHRISTINE  GORSEK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist61862OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356795058
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE GORSEK
Provider Business Mailing Address
First Line : PO BOX 1235
Second Line :
City : NEWBERG
State : OR
Zip : 97132-8235
Country : US
Telephone Number : 503-662-6403
Fax Number :
Provider Business Practice Location Address
First Line : 936 SE OAK ST
Second Line :
City : HILLSBORO
State : OR
Zip : 97123-4214
Country : US
Telephone Number : 503-546-6392
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2016
Last Update Date : 03/24/2023

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Directions to “ CHRISTINE GORSEK ” Practice Location

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