IndividualActive
Joshua Gietzen, PA
NPI 1013365469 · Medical Physician Assistant · Cornelius, OR
Provider details
- NPI number
- 1013365469
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA184309 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1151 N Adair St
Cornelius, OR 97113-8900
Phone: (503) 359-5564
Fax: (503) 357-4371
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 6149
Beaverton, OR 97007-0149
Registry dates
- Enumerated
- 2016-05-26
- Last updated
- 2017-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.