NPI
Aegis Group Practice LLC
NPI 1528744604
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2023-06-23
- Last updated
- 2023-06-23
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 8330 Cason Rd
- City
- Gladstone OR
- Postal code
- 97027-6401
- Phone
- (800) 444-6845
Organization contact
- Name
- Misty Wilson
- Title
- Credentialing Specialist
- Phone
- (972) 372-6779
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Gladstone, OR. 283 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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