Burgoine, Gary A

Burgoine, Gary A is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Suite 300, Tualatin OR 97062-7452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Burgoine, Gary A can be contacted via phone (503) 692-1242.

Contact Information

Primary practice address
19250 Sw 65Th Ave Suite 300 Tualatin OR 97062-7452
Phone: (503) 692-1242
Fax: (503) 691-3615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD24939 Oregon

Profile Details

NPI number 1184615304
LBN Legal business name Burgoine, Gary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jun 15th, 2016 - about 9 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 1184615304 NPPES
Oregon MEDICAID 276051
Oregon Other R119567

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