Organization
K. G. GAUNTT D.P.M.
Active
Other names
Tuality Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAIL SHEPHERD (ACCOUNTS MANAGER)
(503) 538-0466
Entity
Organization
Contact information
Practice address
410 VILLA RD, NEWBERG, OR 97132-1853
(503) 538-0466
Mailing address
200 NE 4TH AVENUE, HILLSBORO, OR 97124-3127
(503) 538-0466
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DP00197
OR
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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