| Gregg S Densmore, MD | |
|
700 Sunset Dr, Ste F, La Grande, OR 97850-1260 | |
| (541) 963-8578 | |
| (541) 963-8932 |
| Full Name | Gregg S Densmore |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 700 Sunset Dr, La Grande, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184624975 | NPI | - | NPPES |
| 057724 | Medicaid | OR | |
| 057724 | Other | WA | DEPT LABOR & INDUSTRIES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD18510 (Oregon) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg S Densmore, MD 700 Sunset Dr, Ste F, La Grande, OR 97850-1260 Ph: (541) 963-8578 | Gregg S Densmore, MD 700 Sunset Dr, Ste F, La Grande, OR 97850-1260 Ph: (541) 963-8578 |
Donald O. Warren, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 710 Sunset Dr, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 | |
James R Kopp, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1902 4th St Ste 3, La Grande, OR 97850 Phone: 541-963-9843 Fax: 541-963-8746 | |
Benjamin Olson, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 710 Sunset Dr Ste F, La Grande, OR 97850 Phone: 541-663-3100 Fax: 541-975-5135 |