Gosewehr, Jim Alan
Gosewehr, Jim Alan is an individual health care provider with primary practice located at 12123 Sw 69Th Ave , Tigard OR 97223-8514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Gosewehr, Jim Alan can be contacted via phone (971) 708-7600.Contact Information
Primary practice address
12123 Sw 69Th Ave
Tigard OR 97223-8514
Phone: (971) 708-7600
Fax: (971) 371-5230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | MD19412 | Oregon |
Profile Details
| NPI number | 1629071592 |
|---|---|
| LBN Legal business name | Gosewehr, Jim Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Jul 17th, 2023 - about 3 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 | 1629071592 | NPPES |
| Oregon | MEDICAID | 074919 | |
| Oregon | MEDICAID | 1014914 |
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