Watson, Gonzzo

Watson, Gonzzo is an individual health care provider with primary practice located at 18670 Willamette Drive Suite 101, West Linn OR 97068. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Watson, Gonzzo can be contacted via phone (503) 697-7463.

Contact Information

Primary practice address
18670 Willamette Drive Suite 101 West Linn OR 97068
Phone: (503) 697-7463
Fax: (503) 697-2743
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 272973 Oregon

Profile Details

NPI number 1033127816
LBN Legal business name Watson, Gonzzo
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Apr 28th, 2008 - about 18 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 1033127816 NPPES
Oregon MEDICAID 158842
Oregon Other 350555
Oregon Other 808027000

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