Greenberg, Gary M
Greenberg, Gary M is an individual health care provider with primary practice located at 725 S Wahanna Rd Ste 230 , Seaside OR 97138-7735. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Greenberg, Gary M can be contacted via phone (503) 717-7850.Contact Information
Primary practice address
725 S Wahanna Rd Ste 230
Seaside OR 97138-7735
Phone: (503) 717-7850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD14811 | Oregon |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD14811 | Oregon |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD14811 | Oregon |
Profile Details
| NPI number | 1720070683 |
|---|---|
| LBN Legal business name | Greenberg, Gary M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2005 |
| Last updated | Jul 2nd, 2021 - about 5 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 | 1720070683 | NPPES |
| Oregon | MEDICAID | 078449 |
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