| Doctor Name: | MR. GREGORY JOHN ESMER |
| NPI Number: | 1891871455 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | D026929 |
| Business Practice Address: | 4039 N Mississippi Ave Ste 203 Portland, OR - 972271477 |
| Business Phone Number: | 5039702303 |
| Business Fax Number: | 5037197591 |
| Mailing Address: | 4039 N Mississippi Ave Ste 203, PORTLAND |
| State: | OR |
| Postal Code: | 972271477 |
| Phone Number: | 5039702303 |
| Fax Number: | 5037197591 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 01/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D026929 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |