Individual
DR. VINCENT GIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD28676
OR
207RP1001X
Pulmonary Disease Physician
41171
MN
207RP1001X
Pulmonary Disease Physician
Primary
MD28676
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
41171
MN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD28676
OR
208000000X
Pediatrics Physician
MD28676
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245641
—
OR
Enumeration date
08/01/2006
Last updated
04/24/2014
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