| Gary J Trupp, MD | |
|
620 Nw 11th St Ste M106, Hermiston, OR 97838-6941 | |
| (541) 667-3801 | |
| (541) 667-3802 |
| Full Name | Gary J Trupp |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 620 Nw 11th St Ste M106, Hermiston, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790760791 | NPI | - | NPPES |
| 288161 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD22618 (Oregon) | Primary |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary J Trupp, MD 620 Nw 11th St Ste M201, Hermiston, OR 97838-6941 Ph: (541) 289-4118 | Gary J Trupp, MD 620 Nw 11th St Ste M106, Hermiston, OR 97838-6941 Ph: (541) 667-3801 |
Diana L Edenfield, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 620 Nw 11th St Ste M106, Hermiston, OR 97838 Phone: 541-667-3801 Fax: 541-667-3802 | |
Dr. Allison Vera Khavkin, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 620 Nw 11th St Ste M106, Hermiston, OR 97838 Phone: 541-667-3801 Fax: 541-667-3802 | |
Dr. Keith Roger Lutter, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 620 Nw 11th St Ste M106, Hermiston, OR 97838 Phone: 541-667-3801 Fax: 541-667-3802 | |
Dr. Kendal T. Snider, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 620 Nw 11th St Ste M106, Hermiston, OR 97838 Phone: 541-667-3801 Fax: 541-667-3802 |