Flick, Gregory Robert
Flick, Gregory Robert is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Ste 296 , Portland OR 97225-6667. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Flick, Gregory Robert can be contacted via phone (503) 297-3778.Contact Information
Primary practice address
9427 Sw Barnes Rd Ste 296
Portland OR 97225-6667
Phone: (503) 297-3778
Fax: (503) 297-7853
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | MD16143 | Oregon |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD16143 | Oregon |
Profile Details
NPI number | 1417991969 |
---|---|
LBN Legal business name | Flick, Gregory Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Jul 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417991969 | NPPES |
Oregon | MEDICAID | 09378-1 | |
Oregon | MEDICAID | 2017138 |
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