IndividualActive
Jay Gantz, M.D./PH.D.
NPI 1629459300 · Otology & Neurotology Physician · Portland, OR
Provider details
- NPI number
- 1629459300
- Entity type
- Individual
- Primary specialty
- Otology & Neurotology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D./PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- XXXXXXXX (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8510
Fax: (503) 494-4631
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Additional practice locations (1)
- 1 Barnes Jewish Hospital PlzSaint Louis, MO 63110-1003Phone: (314) 362-5000
Registry dates
- Enumerated
- 2015-06-17
- Last updated
- 2022-08-09
- Certified
- 2022-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.