John Ellis Gobble DRPH, RD, LD

NPI 1013919323 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1013919323
Gender Male
Enumeration Date 06/01/2005
Last Updated 09/30/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
8800 SE SUNNYSIDE RD
SUITE 215-S
CLACKAMAS OR, 97015-5738, US
Phone (503) 652-5070
Fax (800) 957-1067
Business Location
1463 SW 20TH CT
GRESHAM OR, 97080-9662, US
Phone (503) 652-5070
Fax (503) 652-5080
Toxanomy
Taxonomy Code 133V00000X
License State Oregon
License Number 000543
Remove 1013919323 NPI Number
 

According to our database, Dr. John Ellis Gobble DRPH, RD, LD NPI is 1013919323, taxonomy code is 133V00000X and license number is 000543, license state is located at Oregon. John Ellis Gobble DRPH, RD, LD physically located at 8800 Se Sunnyside Rd, Clackamas OR, 97015-5738. NPI Number John Ellis Gobble DRPH, RD, LD has the Individual type.

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1013919323 NPI number is provided on an as is basis without warranty of any kind. 1013919323 is maintained by the National Plan & Provider Enumeration System. The contents of John Ellis Gobble DRPH, RD, LD are for informational purposes only.