White, Gregg Michael

White, Gregg Michael is an individual health care provider with primary practice located at 10150 Se 32Nd Ave , Milwaukie OR 97222. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. White, Gregg Michael can be contacted via phone (503) 513-8300.

Contact Information

Primary practice address
10150 Se 32Nd Ave Milwaukie OR 97222
Phone: (503) 513-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 200360037CRNA Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 097000628RN Oregon

Profile Details

NPI number 1477581825
LBN Legal business name White, Gregg Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Aug 17th, 2018 - about 8 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 1477581825 NPPES
Oregon MEDICAID 100440
Oregon Other 865351001

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