K. G. Gauntt D.p.m.

NPI #1871739482 in Newberg, Oregon

Provider Information

NPI Number
1871739482
Entity Type
Organization
Organization Name
K. G. Gauntt D.p.m.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 2, 2009
Last Updated
Jan 2, 2009

Practice Location

Address
410 VILLA RD
State
Oregon
ZIP Code
97132-1853
Phone
(503) 538-0466

Authorized Official

Name
MRS. GAIL SHEPHERD
Title
ACCOUNTS MANAGER
Phone
(503) 538-0466

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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