Individual
JOHN DONNELL GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 HILYARD STREET, EUGENE, OR 97401
(541) 687-7134
(541) 687-7135
Mailing address
PO BOX 53, EUGENE, OR 97440
(541) 687-7134
(541) 687-7135
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD14349
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278062
—
OR
05
—
8425696
—
WA
05
—
MD2587R
—
AK
05
—
MD4189R
—
AK
Enumeration date
06/22/2006
Last updated
04/25/2008
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