Gunderman, Robert E

Gunderman, Robert E is an individual health care provider with primary practice located at 445 Harlow Rd Suite #200, Springfield OR 97477-1346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gunderman, Robert E can be contacted via phone (541) 681-8586.

Contact Information

Primary practice address
445 Harlow Rd Suite #200 Springfield OR 97477-1346
Fax: (541) 681-8587
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD15793 Oregon

Profile Details

NPI number 1497787485
LBN Legal business name Gunderman, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 15th, 2013 - about 12 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 1497787485 NPPES
Oregon MEDICAID 001144
Oregon MEDICAID 8402224
Oregon MEDICAID MD5205R
Oregon MEDICAID MD5206R

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