Gregory a Aitchison MD PC
Organization Active NPI Psychiatry Physician · Bandon, OR
NPI 1740364413 · NPPES record last updated Nov 12, 2009
Key facts
- NPI
- 1740364413
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- GREGORY A AITCHISON MD PC
- Practice address
- 1295 Oregon Ave
Bandon, OR 97411-9102 - Phone
- (541) 347-9042
- Fax
- (541) 347-4720
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Gregory Allen Aitchison, MD
- Title
- President
- Phone
- (541) 347-9042
National Provider Directory
Locations
1295 Oregon Ave SE
Bandon, OR 97411
Phone (541) 347-9042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | |||
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
1295 Oregon Ave
Bandon, OR 97411-9102
Mailing address
PO Box 189
Bandon, OR 94711-0189
Phone (541) 347-9042
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277384 | Medicaid | OR | |
| 00024340000 | Other | OR | BLUE CROSS |
| 000845495000 | Other | OR | BLUE CROSS |
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All providers in Bandon, OR · Psychiatry Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.