Search › Oregon › 171M00000X
Gary Costa
NPI 1568820777 · on the registry since 2016
Practice
- Address
- 1128 Nw Harriman St
Bend, OR 97703 - Phone
- (541) 777-0755
- Organisation at this address
- Genoa Healthcare Llc
Mosaic Community HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 94
Additional practice sites
- 1461 Oak St, Eugene, OR
- 2577 Ne Courtney Drive, Bend, OR
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon