Individual
JOSEPH R GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 W ELM AVE, STE 110, HERMISTON, OR 97838-2713
(541) 567-2995
(541) 567-7720
Mailing address
34019 RIVER VIEW DR, HERMISTON, OR 97838-6399
(541) 567-3797
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD09041
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084164000
REGENCE BCBSO
OR
05
—
276278
—
OR
Enumeration date
06/22/2005
Last updated
07/28/2010
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