Gore, Tundike
Gore, Tundike is an sole proprietor health care provider with primary practice located at 5305 River Rd N Ste B , Keizer OR 97303-5324. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gore, Tundike can be contacted via phone (972) 765-7168.Contact Information
Primary practice address
5305 River Rd N Ste B
Keizer OR 97303-5324
Phone: (972) 765-7168
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP123999 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 202109011NP-PP | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 20211168NP-PP | Oregon |
Profile Details
NPI number | 1346681020 |
---|---|
LBN Legal business name | Gore, Tundike |
Credentials | DNP, PMHNP, FNP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 10th, 2013 |
Last updated | Oct 7th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346681020 | NPPES |
Texas | Other | NP-C NUMBER: F061387 | NP-C NUMBER: F0613870 |
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