Tavelli, Bert G
Tavelli, Bert G is an individual health care provider with primary practice located at 2525 Nw Lovejoy St Ste 400 , Portland OR 97210-2865. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Tavelli, Bert G can be contacted via phone (503) 223-1933.Contact Information
Primary practice address
2525 Nw Lovejoy St Ste 400
Portland OR 97210-2865
Phone: (503) 223-1933
Fax: (503) 223-1947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD 14681 | Oregon |
Profile Details
| NPI number | 1013918978 |
|---|---|
| LBN Legal business name | Tavelli, Bert G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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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