Huebert, Jimmy Dee

Huebert, Jimmy Dee is an sole proprietor health care provider with primary practice located at 7654 Sw Mohawk St Bldg K , Tualatin OR 97062-8119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Huebert, Jimmy Dee can be contacted via phone (503) 691-2000.

Contact Information

Primary practice address
7654 Sw Mohawk St Bldg K Tualatin OR 97062-8119
Phone: (503) 691-2000
Fax: (503) 961-2001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X MD23362 Oregon

Profile Details

NPI number 1225050834
LBN Legal business name Huebert, Jimmy Dee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Sep 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225050834 NPPES
Oklahoma MEDICAID 100187860A
Oklahoma MEDICAID 1119809

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