Individual
DR. GREGORY ALAN FALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
115 SW PINE, CANYONVILLE, OR 97417-0198
(541) 839-4211
(541) 839-4858
Mailing address
PO BOX 888, CANYONVILLE, OR 97417-0888
(541) 839-4211
(541) 839-4983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO13695
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284208
—
OR
Enumeration date
01/05/2007
Last updated
05/05/2016
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