DR. GARY EUGENE STANFORD M.D. NPI 1477696425

NPI Information

NPI: 1477696425
Provider Name: DR. GARY EUGENE STANFORD, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address: 387 N 5TH STREET
WOODBURN, OR
ZIP 97071
Phone: (503) 982-3781

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NPI Details

DR. Gary Eugene Stanford, M.D. is a general practice in Woodburn, OR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Gary Eugene Stanford, M.D. NPI is 1477696425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

387 N 5TH STREET
WOODBURN, OR
ZIP 97071-637
Phone: (503) 982-3781
Fax: (503) 982-8696

The enumeration date for this NPI number is 2/15/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		MD 42119	WASHINGTON	No
2	208D00000X	General Practice		MD 13446	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C 91052	MEDICARE UPIN
2	176909	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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