DR. Gary Eugene Stanford, M.D.

NPI #1477696425 in Woodburn, Oregon

Provider Information

NPI Number: 1477696425
Entity Type: Individual
Name: DR. Gary Eugene Stanford, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Feb 15, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 387 N 5TH STREET
City: Woodburn
State: Oregon
ZIP Code: 97071-4637
Phone: (503) 982-3781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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