Individual
GREGORY SCOTT NOWAK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 HICKORY ST NW STE 303, ALBANY, OR 97321-1700
(541) 812-5275
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD211439
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
08/23/2022
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