Individual
TIMOTHY F GLADDING JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(541) 677-4313
(541) 677-4533
Mailing address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(541) 677-4313
(541) 677-4533
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD20362
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288459
—
OR
Enumeration date
01/27/2006
Last updated
07/08/2007
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