Gallagher, Gary Lyle
Gallagher, Gary Lyle is an sole proprietor health care provider with primary practice located at 777 Sw Mill View Way Ste 250 , Bend OR 97702-1140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Gallagher, Gary Lyle can be contacted via phone (541) 728-3184.Contact Information
Primary practice address
777 Sw Mill View Way Ste 250
Bend OR 97702-1140
Phone: (541) 728-3184
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | MD21961 | Oregon |
Profile Details
| NPI number | 1770624371 |
|---|---|
| LBN Legal business name | Gallagher, Gary Lyle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jan 2nd, 2020 - about 4 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 | 1770624371 | NPPES |
| Oregon | MEDICAID | 134297 |
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