Provider Demographics
NPI:1730353236
Name:MARION GREGOR AND ASSOCIATES, INC
Entity type:Organization
Organization Name:MARION GREGOR AND ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARION
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GREGOR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:541-812-1242
Mailing Address - Street 1:213 WATER AVE NW
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-2298
Mailing Address - Country:US
Mailing Address - Phone:541-812-1242
Mailing Address - Fax:541-928-1678
Practice Address - Street 1:213 WATER AVE NW
Practice Address - Street 2:SUITE 400
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-2298
Practice Address - Country:US
Practice Address - Phone:541-812-1242
Practice Address - Fax:541-928-1678
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR24071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR117226OtherMEDICARE GROUP