Gross, Jonathan Michael

Gross, Jonathan Michael is an individual health care provider with primary practice located at 444 Nw Elks Dr , Corvallis OR 97330-3745. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Gross, Jonathan Michael can be contacted via phone (541) 754-1256.

Contact Information

Primary practice address
444 Nw Elks Dr Corvallis OR 97330-3745
Phone: (541) 754-1256
Fax: (360) 517-1472
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD165536 Oregon
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD165536 Oregon

Profile Details

NPI number 1457593881
LBN Legal business name Gross, Jonathan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2009
Last updated Mar 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457593881 NPPES
Oregon MEDICAID 500673731

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