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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

NPI Number 1275770349
LBN Legal business name K G GAUNTT DPM PC
Authorized official KIM GAUNTT - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/12/2009
Last updated 01/12/2009 - About 17 years ago
Identifiers
OR License # DP00197
OR Medicaid 001656
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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