Wilson, Gayle Ray
Wilson, Gayle Ray is an individual health care provider with primary practice located at 289 E Ellendale Suite 503, Dallas OR 97338. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wilson, Gayle Ray can be contacted via phone (503) 623-8826.Contact Information
Primary practice address
289 E Ellendale Suite 503
Dallas OR 97338
Phone: (503) 623-8826
Fax: (503) 623-8739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD09317 | Oregon |
Profile Details
| NPI number | 1437215340 |
|---|---|
| LBN Legal business name | Wilson, Gayle Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1437215340 | NPPES |
| Oregon | MEDICAID | 004460 |
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