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

Jay Gantz, MD/PHD

Individual provider Otolaryngology Physician · NPI 1629459300

Jay Gantz, MD/PHD is an Otolaryngology in Portland, Oregon. Graduated from University of Washington School of Medicine in 2015, 11 years ago. Practices with University Professional Services, a 1,704-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri and Oregon.

Years since qualifying
11
Trained at
University of Washington School of Medicine
Licensed in
MO, OR
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8510
Fax: (503) 494-4631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (314) 362-5000

Specialties & licences

Otology & Neurotology Physician (primary) Taxonomy 207YX0901X · Licence MD210112 (OR)
Otolaryngology Physician Taxonomy 207Y00000X · Licence XXXXXXXX (MO)

Record details

NPI number1629459300
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/PHD
Sole proprietorNo
NPI enumeratedJune 17, 2015
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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