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 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500641681 | OR | -- |
Post Comment/ Review Below
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.