Timothy R Gobble, MD | |
1321 Ne 99th Ave Ste 100, Portland, OR 97220-9437 | |
(503) 215-9900 | |
Not Available |
Full Name | Timothy R Gobble |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 12 Years |
Location | 1321 Ne 99th Ave Ste 100, Portland, 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 |
---|---|---|---|
1003174632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD168658 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mid-columbia Medical Center | The dalles, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mid-columbia Medical Center | 3779487251 | 98 |
Entity Name | Mid-columbia Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053409599 PECOS PAC ID: 3779487251 Enrollment ID: O20031209000244 |
Entity Name | Vibra Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659705424 PECOS PAC ID: 8921233933 Enrollment ID: O20140528001804 |
Mailing Address | Practice Location Address |
---|---|
Timothy R Gobble, MD 1463 Sw 20th Ct, Gresham, OR 97080-9662 Ph: () - | Timothy R Gobble, MD 1321 Ne 99th Ave Ste 100, Portland, OR 97220-9437 Ph: (503) 215-9900 |
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