Provider Demographics
NPI:1891151221
Name:GREGORY STEINKE
Entity Type:Organization
Organization Name:GREGORY STEINKE
Other - Org Name:PROGRAMS FOR HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:STEINKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-921-5195
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:
Mailing Address - City:NEOTSU
Mailing Address - State:OR
Mailing Address - Zip Code:97364-0858
Mailing Address - Country:US
Mailing Address - Phone:541-921-5195
Mailing Address - Fax:971-264-2686
Practice Address - Street 1:1000 3RD ST
Practice Address - Street 2:
Practice Address - City:TILLAMOOK
Practice Address - State:OR
Practice Address - Zip Code:97141-3430
Practice Address - Country:US
Practice Address - Phone:541-921-5195
Practice Address - Fax:971-264-2686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD151015207Q00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty