Search › Oregon › 363LF0000X
Graham Gentry, FNP
NPI 1730844838 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1755 Sw Baker St
Mcminnville, OR 97128 - Phone
- (971) 900-4522
- Fax
- (971) 900-4503
- Organisation at this address
- Icco, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 9800 Se Sunnyside Rd, Clackamas, OR
- 2850 Se Powell Valley Rd, Gresham, OR
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
207R00000X - Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-04
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