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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720070683 NPPES
Oregon MEDICAID 078449

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