Provider Demographics
NPI:1881629715
Name:GERKEN, BRITTANY (MD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:GERKEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2847
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339-2847
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:980 3RD ST
Practice Address - Street 2:SUITE 500
Practice Address - City:TILLAMOOK
Practice Address - State:OR
Practice Address - Zip Code:97141-9469
Practice Address - Country:US
Practice Address - Phone:503-842-5546
Practice Address - Fax:503-842-1444
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD26823207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR213030Medicaid
OR0000WCGNDMedicare Oscar/Certification
OR163622Medicare UPIN
OR135363Medicare PIN