Gareth A. Tabor M.D., P.C

LBN: Gareth A. Tabor M.D., P.C
Gareth A. Tabor M.D., P.C is an health care organization with primary practice located at 27 S State St #240, Lake Oswego OR 97034-3935. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gareth A. Tabor M.D., P.C can be contacted via phone (503) 636-9608, or through Tabor, Janet via phone (503) 636-9608.

Contact Information

Primary practice address
27 S State St #240 Lake Oswego OR 97034-3935
Phone: (503) 636-9608
Fax: (503) 636-9600
Website:
Map and Directions
Authorized official contact:
Name: Tabor, Janet
Phone: (503) 636-9608

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15143 Oregon

Profile Details

NPI number 1295915098
LBN Legal business name Gareth A. Tabor M.D., P.C
DBA Doing business as
Authorized official Tabor, Janet
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2007
Last updated Oct 9th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295915098 NPPES
Oregon MEDICAID 008859
Oregon Other 1205866399

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