Ott, Gary Y

Ott, Gary Y is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Ste 593 , Portland OR 97225-6640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Ott, Gary Y can be contacted via phone (503) 216-8670.

Contact Information

Primary practice address
9427 Sw Barnes Rd Ste 593 Portland OR 97225-6640
Fax:
Website:

Profile Details

NPI number 1891787180
LBN Legal business name Ott, Gary Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Mar 22nd, 2021 - about 3 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 1891787180 NPPES
Oregon MEDICAID 020714

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