Segal, Gerald Marc

Segal, Gerald Marc is an individual health care provider with primary practice located at 265 N Broadway St , Portland OR 97227-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Segal, Gerald Marc can be contacted via phone (503) 280-1223.

Contact Information

Primary practice address
265 N Broadway St Portland OR 97227-1800
Phone: (503) 280-1223
Fax: (503) 528-5252
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD14774 Oregon

Profile Details

NPI number 1942203534
LBN Legal business name Segal, Gerald Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jan 18th, 2012 - 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 1942203534 NPPES
Oregon MEDICAID 171454
Oregon MEDICAID 1022695

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