NPI 1477696425 DR. GARY EUGENE STANFORD M.D. WOODBURN OR. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Gary Eugene Stanford - NPI: 1477696425

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. GARY EUGENE STANFORD
NPI Number: 1477696425
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: MD 42119
Business Practice Address: 387 N 5th Street
Woodburn, OR - 970714637
Business Phone Number: 5039823781
Business Fax Number: 5039828696
Mailing Address: 387 N 5th Street,
WOODBURN
State: OR
Postal Code: 970714637
Phone Number: 5039823781
Fax Number: 5039828696
NPI Enumeration Date: 02/15/2007
NPI Last Update Date: 07/09/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: MD 42119
Healthcare Provider Taxonomy:
(Secondary)
N
State: WA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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