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Gary Thomas Ives, BSHUMANDEVELOPME
Student in an Organized Health Care Education/Training Program in Fairview, Oregon
NPI 1477737831

Gary Thomas Ives is a Student in an Organized Health Care Education/Training Program based in Fairview, OR. Gary Thomas Ives practices in Fairview, OR and has the professional credentials of BSHUMANDEVELOPME. The NPI Number for Gary Thomas Ives is 1477737831 and holds a License No. (Oregon).

The current practice location address for Gary Thomas Ives is 325 Lincoln St, Fairview, OR and can be reached out via phone at 503-669-3075.

Location: 325 Lincoln St, Fairview, OR, 97024-3751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477737831
Provider Name
Gary Thomas Ives
Credential
BSHUMANDEVELOPME
Provider Entity Type
Individual
Gender
Male
Address
325 Lincoln St, Fairview, OR, 97024-3751
Phone Number
503-669-3075
Fax Number
Provider Enumeration Date
12/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
325 Lincoln St
City
Fairview
State
Oregon
Zip
97024-3751
Phone Number
503-669-3075
Fax Number
person
Provider Business Mailing Address Details
Address
325 Lincoln St
City
Fairview
State
Oregon
Zip
97024-3751
Phone Number
503-669-3075
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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