Gregory, Kathleen

Gregory, Kathleen is an individual health care provider with primary practice located at 130 Nw 6Th St Suite A, Mcminnville OR 97128-5582. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gregory, Kathleen can be contacted via phone (503) 775-4931.

Contact Information

Primary practice address
130 Nw 6Th St Suite A Mcminnville OR 97128-5582
Phone: (503) 775-4931
Fax: (503) 788-7285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 080044677NP Oregon

Profile Details

NPI number 1063560217
LBN Legal business name Gregory, Kathleen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2007
Last updated Dec 6th, 2011 - about 13 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 1063560217 NPPES
Washington MEDICAID 9655952
Washington MEDICAID 231860

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