Individual
GARY J TRUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 NW 11TH ST STE M106, HERMISTON, OR 97838-6941
(541) 667-3801
(541) 667-3802
Mailing address
620 NW 11TH ST STE M201, HERMISTON, OR 97838-6941
(541) 289-4118
(541) 667-3484
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD22618
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288161
—
OR
Enumeration date
12/13/2005
Last updated
07/31/2019
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