Individual
WILLIAM MARVIN GASKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200501267
NC
207Q00000X
Family Medicine Physician
Primary
MD28903
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56162
MEDCOST
NC
01
—
N01260
MEDICAID
SC
Enumeration date
07/07/2006
Last updated
11/03/2020
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