Individual
DR. GREGORY EUGENE PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1690 15TH ST, FLORENCE, OR 97439-9431
(541) 997-6909
(541) 997-5212
Mailing address
1690 15TH ST, P.O. BOX 2296, FLORENCE, OR 97439-9431
(541) 997-6909
(541) 997-5212
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2100
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048777000
BLUE CROSS/BLUE SHIELD
OR
01
—
350013574
RR MEDICARE #
OR
Enumeration date
01/26/2006
Last updated
02/13/2014
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