Gudgel, Brett Matthew

Gudgel, Brett Matthew is an individual health care provider with primary practice located at 1306 Division St , Oregon City OR 97045-1523. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Gudgel, Brett Matthew can be contacted via phone (503) 656-4221.

Contact Information

Primary practice address
1306 Division St Oregon City OR 97045-1523
Phone: (503) 656-4221
Fax: (503) 656-4249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 11685097-1205 Utah
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 32820 Oklahoma
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11018880A Indiana
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD205372 Oregon

Profile Details

NPI number 1497105811
LBN Legal business name Gudgel, Brett Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Nov 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497105811 NPPES
Oregon Other R227471 MEDICARE
Oregon MEDICAID 500794640 MEDICARE

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