Nathan Gruenhagen, M.D.
Radiology, Diagnostic Radiology in Newport, OR. Individual provider (NPI-1).
NPI number1013442425
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1013442425
- Entity type
- Individual (NPI-1)
- Name
- Nathan Gruenhagen
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2017
- Certification date
- Jul 26, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | MD213885 | OR | Yes |
Practice location
930 Sw Abbey St Ste BNewport, OR 97365-4820
Phone 541-265-2244
Mailing address
2401 W University AveMuncie, IN 47303-3428
Other practice locations
3600 Nw Samaritan Dr
Corvallis, OR 97330-5472
Corvallis, OR 97330-5472
Phone 541-768-5111
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