Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael P. Gardner, MD PC

Organization Clinic/Center · NPI 1043684889

Michael P. Gardner, MD PC is a Clinic/Center in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

19260 SW 65th Ave Ste 310
Tualatin, OR 97062-5710
Phone: (503) 692-1200
Fax: (503) 692-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence MD22270 (OR)

Record details

NPI number1043684889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelly Banta — Office Manager · (503) 783-0208
NPI enumeratedNovember 17, 2015
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020
Mailing address19260 Sw 65th Ave Ste 310, Tualatin, OR 97062-5710

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