Individual
WILLIAM THOMAS GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE L466, PORTLAND, OR 97239-3011
(503) 418-4562
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE L466, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD20237
OR
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD20237
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151149
—
OR
Enumeration date
08/02/2006
Last updated
11/10/2020
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