Provider Demographics
NPI:1700289626
Name:DUNCAN, GREGORY MCCLANE (ND)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:MCCLANE
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 ELLENDALE DR
Mailing Address - Street 2:STE 102
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-8216
Mailing Address - Country:US
Mailing Address - Phone:541-210-5687
Mailing Address - Fax:541-392-4962
Practice Address - Street 1:940 ELLENDALE DR
Practice Address - Street 2:STE 102
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8216
Practice Address - Country:US
Practice Address - Phone:541-210-5687
Practice Address - Fax:541-392-4962
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-06
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2046261QP2300X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty