GREG GONZALEZ PEDIATRICS NPI 1588700819

NPI Information

  • NPI: 1588700819
  • Provider Name: GREG GONZALEZ PEDIATRICS
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: EAGLE POINT PEDIATRICS
  • Address: 275 LOTO STREET
    EAGLE POINT, OR
    ZIP 97524
  • Phone: (541) 830-4060

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NPI Details

GREG GONZALEZ PEDIATRICS is a clinic center in Eagle Point, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GREG GONZALEZ PEDIATRICS NPI is 1588700819. The provider is registered as an organization entity type.
The provider Is Doing Business As Eagle Point Pediatrics.

The provider's business location address is:

275 LOTO STREET
EAGLE POINT, OR
ZIP 97524
Phone: (541) 830-4060
Fax: (541) 830-4090

The provider's authorized official is Greg Gonzalez .
The authorized official title is Owner and has the following contact phone number (541) 830-4060.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 8/22/2020.

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
1261Q00000XClinic/CenterMD23838OREGONYes

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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