| Paul C Gering, Jr., Md | |
|
1077 Sw 3rd Ave Ontario OR 97914-2125 | |
| (541) 889-0771 | |
| (541) 889-8788 |
| Full Name | Paul C Gering, Jr., Md |
|---|---|
| Speciality | Family Medicine |
| Location | 1077 Sw 3rd Ave, Ontario, Oregon |
| Authorized Official Name and Position | Paul C Gering (OWNER) |
| Authorized Official Contact | 5418890771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul C Gering, Jr., Md 1077 Sw 3rd Ave Ontario OR 97914-2125 Ph: (541) 889-0771 | Paul C Gering, Jr., Md 1077 Sw 3rd Ave Ontario OR 97914-2125 Ph: (541) 889-0771 |
| NPI Number | 1962698035 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 11/30/2016 |
| Medicare PECOS PAC ID | 2769475367 |
|---|---|
| Medicare Enrollment ID | O20040407001671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962698035 | NPI | - | NPPES |
| 067590 | Medicaid | OR | |
| 003426600 | Medicaid | ID | |
| 080088293 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD18808 (Oregon) | Primary |
| Provider Name | Paul C Gering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235198995 PECOS PAC ID: 4486647088 Enrollment ID: I20040713001558 |
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