Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 0666 | OR |
NPI | 1083715536 |
---|---|
Provider Name | Gary Carl Dreger |
First Address | Oregon City, OR 97045-1955 |
Second Address | Oregon City, OR 97045-1955 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 31/08/2015 |