Trubenbach, Thomas Jason

Trubenbach, Thomas Jason is an individual health care provider with primary practice located at 1311 E Barnett Rd Suite 201, Medford OR 97504-8225. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse First Assistant. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Trubenbach, Thomas Jason can be contacted via phone (541) 779-5007.

Contact Information

Primary practice address
1311 E Barnett Rd Suite 201 Medford OR 97504-8225
Fax: (541) 779-2055
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200550156NP Oregon
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 200040988RN Oregon

Profile Details

NPI number 1396759916
LBN Legal business name Trubenbach, Thomas Jason
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Nov 13th, 2013 - about 11 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 1396759916 NPPES
Oregon MEDICAID 297670

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