Michael P. Gardner, MD PC
Michael P. Gardner, MD PC is a healthcare organization registered as Clinic/Center in Tualatin, OR, holding Type 2 (organization) NPI 1043684889 since 2015. The authorized official on file is Shelly Banta, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043684889 |
|---|---|
| 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 | 5036921200 |
| Fax | 5036921220 |
| Enumeration date | 2015-11-17 |
| Last updated in NPPES | 2020-01-29 |
Authorized official
| Name | Shelly Banta |
|---|---|
| Title | Office Manager |
| Phone | 5037830208 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | MD22270 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288387 | Medicaid | OR | — |
Copy-ready billing details
Provider: Michael P. Gardner, MD PC NPI: 1043684889 Taxonomy: 261Q00000X (Clinic/Center) Address: 19260 SW 65TH AVE STE 310, Tualatin, OR, 97062
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1437330180 | Michael P. Gardner, MD PC | Organization | Urology Physician | Tualatin, OR |
Verify this record
Cross-check NPI 1043684889 against the authoritative CMS record: view Michael P. Gardner, MD PC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What type of organization is Michael P. Gardner, MD PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-01-29.