Physician Assistant
ETHAN GLADHILL
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1992587406 · enumerated 2023-10-18 · record updated 2025-02-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 24988 SE STARK ST STE 220, GRESHAM, OR, 97030-8324 (503) 674-1580 Fax (503) 674-1581 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 4365, PORTLAND, OR, 97208-4365 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License PA223756 OR
In this directory
Locations and evidence
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Practice location
GRESHAM, OR, 970308324
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.