Wlodarski, Gregory H

Wlodarski, Gregory H is an sole proprietor health care provider with primary practice located at 2821 Daggett Ave Ste 200 , Klamath Falls OR 97601-1106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wlodarski, Gregory H can be contacted via phone (541) 274-8400.

Contact Information

Primary practice address
2821 Daggett Ave Ste 200 Klamath Falls OR 97601-1106
Fax: (541) 274-8405
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD192071 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 95-01458 North Carolina

Profile Details

NPI number 1891712592
LBN Legal business name Wlodarski, Gregory H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Feb 11th, 2020 - about 6 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 1891712592 NPPES
Oregon MEDICAID 500762160
Oregon Other 88721
Oregon MEDICAID 8988721

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