John Ellis Gobble in Gresham - Dietitian, Registered

John Ellis Gobble - NPI 1013919323

John Ellis Gobble is a Dietitian, Registered in Gresham, Oregon. John Ellis Gobble practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for John Ellis Gobble is 1013919323. The last update date is 2014-09-30.

John Ellis Gobble's current location address is 1463 Sw 20th Ct, Gresham, Oregon. You can contact this provider via phone number 5036525070 and fax number 5036525080. The mailing address for John Ellis Gobble is 1463 Sw 20th Ct, Gresham, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name John Ellis Gobble
Address 1463 Sw 20th Ct, Gresham, Oregon
Phone Number 5036525070
Fax Number 5036525080
Sole Proprietor N
Credentials DRPH, RD,

NPI Number Detail

NPI Number 1013919323
Provider Enumeration Date 2005-06-01
Last Updated Date 2014-09-30

Provider Mailing Address Detail

Address 1463 Sw 20th Ct
City Gresham
State Oregon (OR)
Post Code 9708096620
Phone Number 5036525070
Fax Number 5036525080

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 543
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
500641681 OR --

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FAQs about John Ellis Gobble

What is the unique identifier code issued to John Ellis Gobble by the Centers for Medicare & Medicaid Services?

The John Ellis Gobble has been assigned the NPI (National Provider Identifier) 1013919323. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where John Ellis Gobble is physically located?

The John Ellis Gobble is physically situated at the following address: 1463 Sw 20Th Ct, Gresham, OR, 9708096620.

What is the John Ellis Gobble's area of specialization and corresponding taxonomy classification?

The John Ellis Gobble's specialty field is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their specialties.

On what date did John Ellis Gobble receive its 1013919323 assignment from the Centers for Medicare & Medicaid Services?

The John Ellis Gobble was assigned its 1013919323 on 2005-06-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to John Ellis Gobble most recently updated or revised?

The information pertaining to John Ellis Gobble, including its address, specialty, and other relevant details, was last updated or revised on 2014-09-30.

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