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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1629071592 NPPES
Oregon MEDICAID 074919
Oregon MEDICAID 1014914

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