Provider Demographics
NPI:1467671834
Name:SALBADOR, GUS WILLIAM III (MD)
Entity Type:Individual
Prefix:
First Name:GUS
Middle Name:WILLIAM
Last Name:SALBADOR
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:G.
Other - Middle Name:WILLIAM
Other - Last Name:SALBADOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:401 E 10TH AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3304
Mailing Address - Country:US
Mailing Address - Phone:541-684-0154
Mailing Address - Fax:541-343-6434
Practice Address - Street 1:401 E 10TH AVE STE 230
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3304
Practice Address - Country:US
Practice Address - Phone:541-684-0154
Practice Address - Fax:541-343-6434
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD207172084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry