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Contact Information

GARY D JOSEPHSEN
1460 G STREET
SPRINGFIELD, OR97477
 Phone: 541-726-4580
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for GARY D JOSEPHSEN · (Male)

NPI Number 1770781809
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2007
Last updated 09/19/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A097804
Hospital affiliation(s)
  • MCKENZIE-WILLAMETTE MEDICAL CENTER - (Acute Care)
    1460 G STREET
    SPRINGFIELD, OR 97477
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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