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Contact Information

K G GAUNTT DPM PC
410 VILLA ROAD
NEWBERG, OR97132
 Phone: 503-538-0466
 Fax: 503-538-0913
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for K G GAUNTT DPM PC · (Female)

NPI # 1275770349
Status Active
Credentials
Entity Individual
Enumeration date 01/12/2009
Last updated 01/12/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # DP00197
  • OR Medicaid 001656
Hospital affiliation(s) Not Available
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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