Individual
GREGORY J OPDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 3RD ST, TILLAMOOK, OR 97141-3430
(360) 556-2600
Mailing address
4950 CLAM WAY W, TILLAMOOK, OR 97141
(360) 556-2600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125054737
IL
Other
Enumeration date
06/17/2008
Last updated
07/16/2015
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