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GORDON PAUL CANZLER D.O.
NPI 1114913183
Family Medicine in Gresham, OR

Active since September 23, 2005
400 NE ROBERTS AVE, GRESHAM, OR 97030(503) 665-9144(503) 665-6404 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gordon Paul Canzler D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GORDON PAUL CANZLER D.O. (NPI 1114913183) is an individual family medicine provider in Gresham, Oregon, licensed in Oregon (DO15150) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1114913183
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGORDON PAUL CANZLERCredential: D.O.
Location Address400 NE ROBERTS AVEGresham, OR 97030-7464
Mailing Address400 Ne Roberts AveGresham, OR 97030-7464 · (503) 665-9144 · Fax (503) 665-6404
Phone(503) 665-9144
Fax(503) 665-6404
Sole ProprietorNo
Enumeration DateSeptember 23, 2005
Last NPPES UpdateOctober 10, 2007
✔ NPI 1114913183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · DO15150
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 NE ROBERTS AVE, Gresham, OR 97030
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Other Identifiers 3

Medicare ID-Type Unspecified08WFBBRAOR
Medicare UPIND80358OR
Medicaid205823OR

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERTS STREET CLINIC, P.C.
Family Medicine
400 NE ROBERTS AVE
GRESHAM, OR 97030
Multnomah County (503) 669-3066
TONI LORAINE HERO D.O.
Family Medicine
400 NE ROBERTS AVE
GRESHAM, OR 97030
Multnomah County (503) 665-9144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gordon Canzler's NPI number?

The NPI number for Gordon Canzler is 1114913183. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Gordon Canzler located?

Gordon Canzler practices at 400 NE Roberts Ave, Gresham, OR 97030. The listed phone number is (503) 665-9144.

What is Gordon Canzler's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gordon Canzler was last updated on October 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.