Caldwell, Gregory Ryan

Caldwell, Gregory Ryan is an individual health care provider with primary practice located at 701 Golf View Dr , Medford OR 97504-9643. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Caldwell, Gregory Ryan can be contacted via phone (541) 494-1111.

Contact Information

Primary practice address
701 Golf View Dr Medford OR 97504-9643
Phone: (541) 494-1111
Fax: (541) 494-1099
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA204347 Oregon

Profile Details

NPI number 1023051190
LBN Legal business name Caldwell, Gregory Ryan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 9th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023051190 NPPES
Oregon MEDICAID 500794455

Popular Providers