Provider Demographics
NPI:1760771463
Name:GABRIEL, PAOLO PILAR (MD)
Entity Type:Individual
Prefix:
First Name:PAOLO
Middle Name:PILAR
Last Name:GABRIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 NE 99TH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97220-9442
Mailing Address - Country:US
Mailing Address - Phone:503-962-1000
Mailing Address - Fax:503-962-1005
Practice Address - Street 1:1111 NE 99TH AVE STE 201
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-9442
Practice Address - Country:US
Practice Address - Phone:503-962-1000
Practice Address - Fax:503-962-1005
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60754847207RC0000X
ORMD193868207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease