Individual
DR. DONALD N. GALLUP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3388 PACIFIC BLVD SW, ALBANY, OR 97321-7707
(541) 758-0766
(541) 753-2737
Mailing address
981 NW SPRUCE AVE, CORVALLIS, OR 97330-2111
(541) 758-0766
(541) 753-2737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20942
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R223876
PTAN
—
Enumeration date
06/26/2006
Last updated
09/24/2021
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