Tabor, Gareth Aubrey
Tabor, Gareth Aubrey is an sole proprietor health care provider with primary practice located at 27 S State St Suite 240, Lake Oswego OR 97034-3935. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tabor, Gareth Aubrey can be contacted via phone (503) 636-9608.Contact Information
Primary practice address
27 S State St Suite 240
Lake Oswego OR 97034-3935
Phone: (503) 636-9608
Fax: (503) 636-9600
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | MD15143 | Oregon |
Profile Details
NPI number | 1205866399 |
---|---|
LBN Legal business name | Tabor, Gareth Aubrey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 4th, 2006 |
Last updated | Jul 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205866399 | NPPES |
Oregon | MEDICAID | 008859 |
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