Luther, Andrew Donald

Luther, Andrew Donald is an individual health care provider with primary practice located at 495 Sw Ramseya Ve , Grants Pass OR 97527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Luther, Andrew Donald can be contacted via phone (541) 476-6644.

Contact Information

Primary practice address
495 Sw Ramseya Ve Grants Pass OR 97527
Fax: (541) 472-5673
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD21189 Oregon

Profile Details

NPI number 1528063310
LBN Legal business name Luther, Andrew Donald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 2007 - about 18 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 1528063310 NPPES
Oregon MEDICAID 151207

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