IndividualActive
Kim Gauntt, D.P.M.
NPI 1902908171 · Podiatrist · Newberg, OR
Provider details
- NPI number
- 1902908171
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DP00197 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
410 Villa Road
Newberg, OR 97132-1904
Phone: (503) 538-0466
Fax: (503) 538-0913
Approximate (ZIP-level) locationGet directions
Mailing address
410 Villa Road
Newberg, OR 97132-1904
Registry dates
- Enumerated
- 2006-09-01
- Last updated
- 2014-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.