Gregory, William Thomas

Gregory, William Thomas is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Mail Code L466, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Gregory, William Thomas can be contacted via phone (503) 418-4562.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Mail Code L466 Portland OR 97239-3011
Phone: (503) 418-4562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD20237 Oregon
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X MD20237 Oregon

Profile Details

NPI number 1972510808
LBN Legal business name Gregory, William Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Nov 10th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972510808 NPPES
Oregon MEDICAID 151149

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