Individual
BHARAT GOPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3517 NW SAMARITAN DR, SUITE 201, CORVALLIS, OR 97330-3767
(541) 768-5142
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036105668
IL
207Q00000X
Family Medicine Physician
Primary
MD170577
OR
Other
Enumeration date
07/19/2006
Last updated
01/14/2021
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