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
Fax: (503) 636-9600
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205866399 NPPES
Oregon MEDICAID 008859

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