Individual
GREGORY LOUIS MONETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7810
Mailing address
3181 SW SAM JACKSON PARK RD # OP11, PORTLAND, OR 97239-3098
(503) 494-7593
(503) 346-8081
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
15752
OR
2086S0129X
Vascular Surgery Physician
Primary
MD15752
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060509
—
OR
Enumeration date
08/03/2006
Last updated
03/26/2019
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