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Individual

PAUL MICHAEL GREAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD19536
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD19536
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
228863
OR
Enumeration date
07/18/2006
Last updated
06/20/2022
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