Provider Demographics
NPI:1356349112
Name:GAJEWSKI, JAMES LEONARD (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEONARD
Last Name:GAJEWSKI
Suffix:
Gender:M
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 6149
Mailing Address - Street 2:
Mailing Address - City:ALOHA
Mailing Address - State:OR
Mailing Address - Zip Code:97007-0149
Mailing Address - Country:US
Mailing Address - Phone:503-352-8657
Mailing Address - Fax:503-352-8658
Practice Address - Street 1:1700 NORTH WHEELING STREET
Practice Address - Street 2:VETERANS ADMINISTRATION ECHS SECTION HEM-ONC
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:303-399-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00717741207R00000X
CAG57111207R00000X, 207RH0003X
WAMD61306843207R00000X, 207RH0003X
TXJ3475207RH0003X
ORMD27403207RH0003X
CODR.0071741207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine