Emmerich, Gregory David
Emmerich, Gregory David is an individual health care provider with primary practice located at 2150 Ne Division St Suite103, Gresham OR 97030-5813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Emmerich, Gregory David can be contacted via phone (503) 661-4200.Contact Information
Primary practice address
2150 Ne Division St Suite103
Gresham OR 97030-5813
Phone: (503) 661-4200
Fax: (503) 666-0566
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD15970 | Oregon |
Profile Details
| NPI number | 1598816605 |
|---|---|
| LBN Legal business name | Emmerich, Gregory David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598816605 | NPPES |
| Oregon | MEDICAID | 027305 |
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