Organization
K. G. GAUNTT D.P.M.
Active
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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