Individual
DR. CELSO A GANGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1245 NW 4TH ST, STE 201, REDMOND, OR 97756-1680
(541) 323-4545
(541) 323-4546
Mailing address
1245 NW 4TH ST, STE 201, REDMOND, OR 97756-1680
(541) 323-4545
(541) 323-4546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD23086
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287491
—
OR
Enumeration date
06/21/2005
Last updated
11/28/2011
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