MR. GARY PICKETT HIS
NPI 1194043687
Specialist in North Bend, OR

Q: What is Gary Pickett's NPI number?

The NPI number for Gary Pickett is 1194043687. It was assigned to this individual provider in the NPPES registry on May 10, 2010.

Q: What is Gary Pickett's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Pickett was last updated on May 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2010

2472 BROADWAY, NORTH BEND, OR 97459(541) 751-1117(541) 751-1227 Get Directions Write a Review

NPPES record last updated: May 10, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Gary Pickett His NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GARY PICKETT HIS (NPI 1194043687) is an individual specialist in North Bend, Oregon, licensed in Oregon (ORHASP222289) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1194043687

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. GARY PICKETTCredential: HIS

Location Address2472 BROADWAYNorth Bend, OR 97459

Mailing Address2472 BroadwayNorth Bend, OR 97459 · (541) 751-1117 · Fax (541) 751-1227

Phone(541) 751-1117

Fax(541) 751-1227

Sole ProprietorNo

Enumeration DateMay 10, 2010

✔ NPI 1194043687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · ORHASP222289

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2472 BROADWAY, North Bend, OR 97459

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Pickett's NPI number?

The NPI number for Gary Pickett is 1194043687. It was assigned to this individual provider in the NPPES registry on May 10, 2010.

Where is Gary Pickett located?

Gary Pickett practices at 2472 Broadway, North Bend, OR 97459. The listed phone number is (541) 751-1117.

What is Gary Pickett's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gary Pickett was last updated on May 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.