OrganizationActive
Portland Gastroenterology Associates P.A.
NPI 1508087289 · Gastroenterology Physician · Portland, ME
Provider details
- NPI number
- 1508087289
- Entity type
- Organization
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Melissa Gousse, Practice Administrator
Practice location
161 Marginal Way
Portland, ME 04101
Phone: (207) 773-7964
Fax: (207) 773-9073
Mailing address
161 Marginal Way
Portland, ME 04101-2438
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2023-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.