Provider Demographics
NPI:1205455375
Name:GAY, STEVEN DANIEL (DO)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:DANIEL
Last Name:GAY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:WESTERN UNIVERSITY OF HEALTH SCIENCES COMP-NORTHWEST
Mailing Address - Street 2:200 MULLINS DR
Mailing Address - City:LEBANON
Mailing Address - State:OR
Mailing Address - Zip Code:97355
Mailing Address - Country:US
Mailing Address - Phone:541-259-0235
Mailing Address - Fax:
Practice Address - Street 1:WESTERN UNIVERSITY OF HEALTH SCIENCES COMP-NORTHWEST
Practice Address - Street 2:200 MULLINS DR
Practice Address - City:LEBANON
Practice Address - State:OR
Practice Address - Zip Code:97355
Practice Address - Country:US
Practice Address - Phone:541-259-0235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-09
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADO-06954207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine