Gordon P Canzler (NPI# 1114913183, PAC ID# 4981755402) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114913183 |
| PAC ID by PECOS | 4981755402 |
| Professional Enrollment ID | I20101123001122 |
| Full Name | Gordon P Canzler |
| Organization Legal Name | ROBERTS STREET CLINIC, P.C. |
| Address |
400 Ne Roberts Ave Gresham OR 97030-7464 |
| Phone Number | 5036659144 |
| Gender | M |
| Graduation Year | 1986 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5991787426 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380025 | LEGACY MOUNT HOOD MEDICAL CENTER |
| 380060 | ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 400 Ne Roberts Ave, Gresham, OR 97030-7464 | 5036659144 | ROBERTS STREET CLINIC, P.C. |
| Organization Legal Name | ROBERTS STREET CLINIC, P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven D Maness | Internal Medicine | Roberts Street Clinic, P.C. | 400 Ne Roberts Ave, Gresham, OR 97030-7464 |
| Toni L Hero | Family Medicine | Roberts Street Clinic, P.C. | 400 Ne Roberts Ave, Gresham, OR 97030-7464 |
| Street Address |
400 NE ROBERTS AVE |
| City | GRESHAM |
| State | OR |
| Zip | 97030-7464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven D Maness | Internal Medicine | Roberts Street Clinic, P.C. | 400 Ne Roberts Ave, Gresham, OR 97030-7464 |
| Toni L Hero | Family Medicine | Roberts Street Clinic, P.C. | 400 Ne Roberts Ave, Gresham, OR 97030-7464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne T Daly | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| David A Pierce | Family Medicine | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Agnes White | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Jaclyn Jones | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Elizabeth Claire Yiu | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Emma Moore | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Mary Jepson | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| Amanda Cort | Nurse Practitioner | Multnomah County | 2020 Se 182nd Ave, Rockwood Health Center, Gresham, OR 97030 |
| John L Strauss | Chiropractic | 620 Se 223rd Ave, Gresham, OR 97030-2510 | |
| Mark A George | Optometry | 22640 Se Stark St, Gresham, OR 97030-2684 | |
| Find all physicians in zip 97030 | |||
| City | GRESHAM |
| Zip Code | 97030 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GRESHAM + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gordon P Canzler.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.