Organization
WINN GREGORY, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINN H GREGORY MD (PRESIDENT)
(541) 667-2420
Entity
Organization
Contact information
Practice address
600 NW 11TH ST STE E10, HERMISTON, OR 97838-8602
(541) 667-2420
(541) 667-2421
Mailing address
600 NW 11TH ST STE E10, HERMISTON, OR 97838-8602
(541) 667-2420
(541) 667-2421
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD22728
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161303
—
WA
01
—
020050466
RAILROAD MEDICARE
—
01
—
082300000
BLUE CROSS BLUE SHIELD
OR
05
—
288051
—
OR
Enumeration date
07/13/2010
Last updated
07/13/2010
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