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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Michael P. Gardner, MD PC

Clinic/Center in Tualatin, OR · enumerated 2015 · authorized official Shelly Banta, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043684889

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Registry record

Entity type Organization (Type 2)
Legal business name Michael P. Gardner, MD PC
Practice address 19260 Sw 65th Ave Ste 310, Tualatin, OR, 97062
Phone (503) 692-1200
Fax (503) 692-1220
Enumeration date Nov 17, 2015
Last updated in NPPES Jan 29, 2020

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License MD22270 (OR) Primary

Authorized official

Name Shelly Banta
Title Office Manager
Phone (503) 783-0208

Other identifiers

Identifier Type State Issuer
288387 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Michael P. Gardner, MD PC?
Michael P. Gardner, MD PC is registered in NPPES as a Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-29.