| David Joseph Gahtan, PA | |
|
1919 Nw Lovejoy St, Portland, OR 97209-1503 | |
| (509) 415-5600 | |
| Not Available |
| Full Name | David Joseph Gahtan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 1919 Nw Lovejoy St, Portland, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215903059 | NPI | - | NPPES |
| P00464824 | Other | OR | RR MEDICARE |
| 500603044 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01015 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Clinics Llc | 0244144004 | 714 |
| Entity Name | Legacy Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
| Entity Name | Premier Wound Healing |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407554819 PECOS PAC ID: 5395119218 Enrollment ID: O20230316000368 |
| Entity Name | Advanced Wound Care and Healing PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053128553 PECOS PAC ID: 3173051844 Enrollment ID: O20250108002145 |
| Mailing Address | Practice Location Address |
|---|---|
| David Joseph Gahtan, PA 15271 Se Thornton Dr, Milwaukie, OR 97267-2552 Ph: Not Available | David Joseph Gahtan, PA 1919 Nw Lovejoy St, Portland, OR 97209-1503 Ph: (509) 415-5600 |
James Francis Deitle, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227 Phone: 503-528-0704 Fax: 503-528-0708 |
David Pritchett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1535 N Williams Ave, Portland, OR 97227 Phone: 503-238-2067 |
Cindy M Fulton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St Ste 102, Portland, OR 97213 Phone: 503-962-1000 |
Kathleen Irene Rodenburg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613 |
Molly Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910 |
Kayla Mae Eversole, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1815 Sw Marlow Ave Ste 100, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 |
Samuel Bryan Valdivia, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 N Graham St Medical Office Building 2, Suite 220, Portland, OR 97227 Phone: 503-413-6200 |