Gubler, Kelly Dean

Gubler, Kelly Dean is an individual health care provider with primary practice located at 501 N Graham Suite #580, Portland OR 97227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gubler, Kelly Dean can be contacted via phone (503) 528-0704.

Contact Information

Primary practice address
501 N Graham Suite #580 Portland OR 97227
Phone: (503) 528-0704
Fax: (503) 528-0708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X DO23244 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X 20A4923 California
Allopathic & Osteopathic Physicians / Surgery 208600000X OP00000951 Washington

Profile Details

NPI number 1659342509
LBN Legal business name Gubler, Kelly Dean
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Aug 25th, 2007 - about 18 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 1659342509 NPPES
Oregon MEDICAID 287256

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