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Individual

MR. GREGORY J. REDFERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
625 RAMSEY AVE, SUITE B, GRANTS PASS, OR 97527-5808
(541) 476-1919
(541) 476-1920
Mailing address
625 RAMSEY AVE, SUITE B, GRANTS PASS, OR 97527-5808
(541) 476-1919
(541) 476-1920

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3581
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
182072
OR
01
1897777
UNITED HEALTH CARE INSURA
OR
01
J284203
PACIFIC SOURCE INSURANCE
OR
Enumeration date
07/31/2005
Last updated
12/06/2007
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