Individual
GREGG STEPHEN LANGBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
S.R.N.A.
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2941
(503) 494-7725
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2941
(503) 494-7725
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
093000469RN
OR
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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