Provider Demographics
NPI:1801511514
Name:MONROY, OSCAR GREGORIO
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:GREGORIO
Last Name:MONROY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2531 NEWTON ST
Mailing Address - Street 2:
Mailing Address - City:PHILOMATH
Mailing Address - State:OR
Mailing Address - Zip Code:97370-9204
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:435 E ALDER ST
Practice Address - Street 2:
Practice Address - City:ALSEA
Practice Address - State:OR
Practice Address - Zip Code:97324-9634
Practice Address - Country:US
Practice Address - Phone:541-487-7116
Practice Address - Fax:541-487-4076
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker