Jay N. Gade, Md, Phd, Pc

LBN: Jay N. Gade, Md, Phd, Pc
Jay N. Gade, Md, Phd, Pc is an health care organization with primary practice located at 2579 Nw Edenbower Blvd , Roseburg OR 97470-6220. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Jay N. Gade, Md, Phd, Pc can be contacted via phone (541) 957-1141, or through Gade, Jay N via phone (541) 957-1141.

Contact Information

Primary practice address
2579 Nw Edenbower Blvd Roseburg OR 97470-6220
Phone: (541) 957-1141
Fax: (541) 957-1466
Website:
Map and Directions
Authorized official contact:
Name: Gade, Jay N M.D., PHD
Phone: (541) 957-1141

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD20360 Oregon

Profile Details

NPI number 1255520383
LBN Legal business name Jay N. Gade, Md, Phd, Pc
DBA Doing business as
Authorized official Gade, Jay N M.D., PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated Oct 15th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255520383 NPPES
Oregon MEDICAID 150092

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