Gary Lee Thueson, MD | |
525 Bay Street, /waldport, OR 97394 | |
(541) 563-4833 | |
(541) 563-5233 |
Full Name | Gary Lee Thueson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 525 Bay Street, /waldport, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043212186 | NPI | - | NPPES |
148304 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD15092 (Oregon) | Primary |
Mailing Address | Practice Location Address |
---|---|
Gary Lee Thueson, MD Po Box 979, Waldport, OR 97394-0979 Ph: (541) 563-4833 | Gary Lee Thueson, MD 525 Bay Street, /waldport, OR 97394 Ph: (541) 563-4833 |
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