Individual
DR. GREGORY G. KAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
660 CAPITOL ST. N.E., SALEM, OR 97301
(503) 364-0512
(503) 588-7108
Mailing address
660 CAPITOL ST. N.E., SALEM, OR 97301
(503) 364-0512
(503) 588-7108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1545ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228429
—
OR
Enumeration date
08/02/2006
Last updated
06/25/2019
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