Gilbert, Donald Dale

Gilbert, Donald Dale is an individual health care provider with primary practice located at 2371 Ne Stephens St Ste 200 , Roseburg OR 97470-1399. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gilbert, Donald Dale can be contacted via phone (541) 672-8533.

Contact Information

Primary practice address
2371 Ne Stephens St Ste 200 Roseburg OR 97470-1399
Fax: (541) 672-4993
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4107360 Oregon

Profile Details

NPI number 1598923252
LBN Legal business name Gilbert, Donald Dale
Credentials CADC I
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598923252 NPPES
Oregon MEDICAID 165772

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