Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD15245 | OR |
Y | 208600000X | Surgeon | MD15245 | OR |
N | 2086S0105X | Surgery of the Hand | MD15245 | OR |
NPI | 1609891035 |
---|---|
Provider Name | Dr. Gregory Lloyd Combs |
First Address | West Linn, OR 97068-4688 |
Second Address | West Linn, OR 97068-4688 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 13/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
043492 | (05) | OR |
E35447 | (02) | OR |