Dr John Ellis Gobble, DRPH, RD, LD | |
8800 Se Sunnyside Rd, Suite 215-s, Clackamas, OR 97015-5738 | |
(503) 652-5070 | |
(800) 957-1067 |
Full Name | Dr John Ellis Gobble |
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Gender | Male |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 41 Years |
Location | 8800 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1013919323 | NPI | - | NPPES |
500641681 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 000543 (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
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Gobble Shults And Associates Inc | 4587759436 | 3 |
Gobble Shults And Associates Inc | 4587759436 | 3 |
Provider Name | Gobble Shults & Associates Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275604399 PECOS PAC ID: 4587759436 Enrollment ID: O20110331000058 |
Mailing Address | Practice Location Address |
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Dr John Ellis Gobble, DRPH, RD, LD 1463 Sw 20th Ct, Gresham, OR 97080-9662 Ph: (503) 652-5070 | Dr John Ellis Gobble, DRPH, RD, LD 8800 Se Sunnyside Rd, Suite 215-s, Clackamas, OR 97015-5738 Ph: (503) 652-5070 |
Chelsea Lynn Jordan, RD, CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 10151 Se Sunnyside Rd Ste 100, Clackamas, OR 97015 Phone: 503-659-0880 Fax: 503-513-7425 | |
Ms. Brenda Lou Buck, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3764 Fax: 503-571-8987 | |
Ms. Angela Koon Major, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13568 Se 97th Ave, Clackamas, OR 97015 Phone: 503-652-5070 | |
Makenna Stafford, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 971-279-0963 | |
Stasha Anne Hornbeck, MS, RD, LD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 9800 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-3040 Fax: 503-571-3095 | |
Katherine Snyder, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Road, Ksmc Nutrition Services, Clackamas, OR 97015 Phone: 503-571-4876 Fax: 503-571-6314 |