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Dr. Gary Eugene Stanford, MD
General Practice Physician in Woodburn, Oregon
NPI 1477696425

Gary Eugene Stanford is a General Practice Physician based in Woodburn, OR. Gary Eugene Stanford practices in Woodburn, OR and has the professional credentials of MD. The NPI Number for Gary Eugene Stanford is 1477696425 and holds a License No. MD 13446 (Oregon).

The current practice location address for Gary Eugene Stanford is 387 N 5Th Street, Woodburn, OR and can be reached out via phone at 503-982-3781 and via fax at 503-982-8696.

Location: 387 N 5Th Street, Woodburn, OR, 97071-4637
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477696425
Provider Name
Gary Eugene Stanford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
387 N 5Th Street, Woodburn, OR, 97071-4637
Phone Number
503-982-3781
Fax Number
503-982-8696
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
176909 05 OR
institution
Provider Business Practice Location Address Details
Address
387 N 5Th Street
City
Woodburn
State
Oregon
Zip
97071-4637
Phone Number
503-982-3781
Fax Number
503-982-8696
person
Provider Business Mailing Address Details
Address
387 N 5Th Street
City
Woodburn
State
Oregon
Zip
97071-4637
Phone Number
503-982-3781
Fax Number
503-982-8696
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
MD 13446 (Oregon)
Definition
Definition to come...
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