Provider Demographics
NPI:1043011968
Name:SALGADO GARZA, GUSTAVO ADRIAN (MD)
Entity type:Individual
Prefix:
First Name:GUSTAVO
Middle Name:ADRIAN
Last Name:SALGADO GARZA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3181 S.W. SAM JACKSON PARK RD.
Mailing Address - Street 2:MAIL CODE: L223
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239
Mailing Address - Country:US
Mailing Address - Phone:503-494-5615
Mailing Address - Fax:
Practice Address - Street 1:3181 S.W. SAM JACKSON PARK RD.
Practice Address - Street 2:MAIL CODE: L223
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239
Practice Address - Country:US
Practice Address - Phone:503-494-5615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program