Gudgel, Brett Matthew
Gudgel, Brett Matthew is an individual health care provider with primary practice located at 1306 Division St , Oregon City OR 97045-1523. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Gudgel, Brett Matthew can be contacted via phone (503) 656-4221.Contact Information
Primary practice address
1306 Division St
Oregon City OR 97045-1523
Phone: (503) 656-4221
Fax: (503) 656-4249
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 11685097-1205 | Utah |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 32820 | Oklahoma |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11018880A | Indiana |
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD205372 | Oregon |
Profile Details
NPI number | 1497105811 |
---|---|
LBN Legal business name | Gudgel, Brett Matthew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2016 |
Last updated | Nov 17th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497105811 | NPPES |
Oregon | Other | R227471 | MEDICARE |
Oregon | MEDICAID | 500794640 | MEDICARE |
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