NPI 1447222724

Jay N Gade, MDPHD

Practitioner Dermatology Physician Roseburg, OR

Practice location

Address: 2440 NW Edenbower Blvd, Roseburg, OR 97471-8847
Phone: (541) 957-1141
Fax: (541) 957-1466

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence MD20360 (OR)

Other Dermatology providers in Oregon →

Registry record

NPI: 1447222724
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2006
Record last updated: 27 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.