Stanford, Gary Eugene

Stanford, Gary Eugene is an sole proprietor health care provider with primary practice located at 387 N 5Th Street , Woodburn OR 97071-4637. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Stanford, Gary Eugene can be contacted via phone (503) 982-3781.

Contact Information

Primary practice address
387 N 5Th Street Woodburn OR 97071-4637
Phone: (503) 982-3781
Fax: (503) 982-8696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD 13446 Oregon
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD 42119 Washington

Profile Details

NPI number 1477696425
LBN Legal business name Stanford, Gary Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Jul 9th, 2007 - about 19 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 1477696425 NPPES
Oregon MEDICAID 176909

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