Provider Demographics
NPI:1295523637
Name:GASPAR, OSCAR
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:GASPAR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10708 NE FARGO ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97220-2759
Mailing Address - Country:US
Mailing Address - Phone:503-858-8737
Mailing Address - Fax:
Practice Address - Street 1:10708 NE FARGO ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-2759
Practice Address - Country:US
Practice Address - Phone:503-858-8737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHCI000111629171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter