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Individual

JOHN HOWARD GREGORY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CERTIFIED ORTHOTIST

Contact information

Practice address
2020 8TH AVE STE 222, WEST LINN, OR 97068-4657
(503) 344-6642
(503) 305-7045
Mailing address
61538 HARDIN MARTIN CT, BEND, OR 97702-3702
(503) 348-7830
(503) 305-7045

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO003723
OR
335E00000X
Prosthetic/Orthotic Supplier
CO003723
WA

Other

Enumeration date
12/30/2022
Last updated
01/13/2023
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