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Individual

GINA KATHLEEN ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
650 SW 3RD ST, CORVALLIS, OR 97333-4437
(541) 207-3900
Mailing address
3228 NW CREST DR, CORVALLIS, OR 97330-1807
(541) 760-9644

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
20A10486
CA
2084N0400X
Neurology Physician
Primary
DO159457
OR
2084N0400X
Neurology Physician
P1157
TX

Other

Enumeration date
03/11/2007
Last updated
12/19/2012
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