Cost, Gregory A

Cost, Gregory A is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Suite 235, Tualatin OR 97062-7452. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cost, Gregory A can be contacted via phone (503) 692-4820.

Contact Information

Primary practice address
19250 Sw 65Th Ave Suite 235 Tualatin OR 97062-7452
Fax: (503) 612-0793
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD20424 Oregon

Profile Details

NPI number 1104987635
LBN Legal business name Cost, Gregory A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Dec 5th, 2023 - about last year

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 1104987635 NPPES
Oregon MEDICAID 149963

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