Provider Demographics
NPI:1902865124
Name:GASPARDI, KAREN ELISE (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELISE
Last Name:GASPARDI
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 1:675 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355-2875
Mailing Address - Country:US
Mailing Address - Phone:541-451-6282
Mailing Address - Fax:541-812-2040
Practice Address - Street 1:675 N 5TH ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355-2875
Practice Address - Country:US
Practice Address - Phone:541-451-6282
Practice Address - Fax:541-812-2040
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG63379207V00000X
ORMD161345207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology