Individual
GREGG S DENSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 SUNSET DR, STE F, LA GRANDE, OR 97850-1260
(541) 963-8578
(541) 963-8932
Mailing address
700 SUNSET DR, STE F, LA GRANDE, OR 97850-1260
(541) 963-8578
(541) 963-8932
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD18510
OR
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057724
DEPT LABOR & INDUSTRIES
WA
05
—
057724
—
OR
Enumeration date
07/22/2005
Last updated
01/11/2008
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