OrganizationActive
K G Gauntt DPM PC
NPI 1275770349 · Podiatrist · Newberg, OR
Provider details
- NPI number
- 1275770349
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Kim Gauntt, President(503) 538-0466
- License
- DP00197 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
410 Villa Road
Newberg, OR 97132
Phone: (503) 538-0466
Fax: (503) 538-0913
Approximate (ZIP-level) locationGet directions
Mailing address
410 Villa Road
Newberg, OR 97132
Registry dates
- Enumerated
- 2009-01-12
- Last updated
- 2009-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.