Provider Demographics
NPI:1306109392
Name:GEBHARD, NATHANIEL JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:NATHANIEL
Middle Name:JAMES
Last Name:GEBHARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 MAY ST
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1347
Mailing Address - Country:US
Mailing Address - Phone:541-386-1399
Mailing Address - Fax:
Practice Address - Street 1:1410 MAY ST
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1347
Practice Address - Country:US
Practice Address - Phone:541-386-1399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-24
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD176440207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology