| Doctor Name: | DR. RAYMOND GAMBRILL |
| NPI Number: | 1043213473 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD08033 |
| Business Practice Address: | 1075 Sw Grandview Ave Ste 200 Grants Pass, OR - 97527 |
| Business Phone Number: | 5414798363 |
| Business Fax Number: | 5414762841 |
| Mailing Address: | 1075 Sw Grandview Avenue, Ste 200 GRANTS PASS |
| State: | OR |
| Postal Code: | 97527 |
| Phone Number: | 5414798363 |
| Fax Number: | 5414762841 |
| NPI Enumeration Date: | 05/31/2005 |
| NPI Last Update Date: | 09/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | MD08033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |