ROBERT C GIBSON (NPI# 1720015365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720015365 |
| Entity Type | Individual |
| Full Name | ROBERT C GIBSON |
| Credential | MD |
| Practice Address |
19250 Sw 65th Ave Suite 135 [oregon Pulmonary Associates] Tualatin OR 97062-7707 |
| Mailing Address |
3959 Sw Tualatin Ave Portland OR 97239-1572 |
| Practice Telephone | 5036928560 |
| Practice Fax Number | 5036910866 |
| Mailing Telephone | 5032273439 |
| Mailing Fax Number | 5032417307 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD 09175 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 072777 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184968521 | Robert Lillie Gibson IIi | Pharmacist | 635 Beechwood Dr, Thomson, GA 30824-1869 | 2012-11-26 |
| 1174710024 | Robert Gibson | Chiropractor | 6128 Bandera Rd, San Antonio, TX 78238-1642 | 2007-09-25 |
| 1679777676 | Robert C Gibson | Nurse Practitioner | 3107 Milford Ter, Hamburg, NY 14075-2436 | 2007-06-13 |
| 1083788350 | Robert Lawrence Gibson | Dentist | 2303 N Coral Canyon Blvd #202, Washington, UT 84780 | 2006-11-20 |
| 1306947205 | Robert Bruce Gibson | Social Worker | 1500 E Woodrow Wilson Ave # 116a4, Jackson, MS 39216-5116 | 2006-09-26 |
| 1386749406 | Robert Douglas Gibson | Chiropractor | 12424 Big Timber Dr, Unit 4, Conifer, CO 80433-6410 | 2006-09-13 |
| 1366452922 | Robert G. Gibson | Pediatrics | 692 Ritchie Hwy # A, Severna Park, MD 21146-3919 | 2006-08-08 |
| 1336686476 | Robert Gibson | Counselor | 8200 E Jacque Dr, Prescott Valley, AZ 86314-6172 | 2017-01-27 |
| 1205232469 | Robert Gibson | Counselor | 507 E College St, Iowa City, IA 52240-5115 | 2014-11-14 |
| 1861806598 | Robert Gibson | Psychologist | 7921 Southpark Plz Ste 204, Littleton, CO 80120 | 2014-06-20 |
| Street Address |
19250 SW 65TH AVE SUITE 135 [OREGON PULMONARY ASSOCIATES] |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100526 | Meridian Family Care, LLC | Family Medicine | 19250 Sw 65th Ave, Ste 265, Tualatin, OR 97062-7452 | 2005-08-03 |
| 1285168872 | Radiation Oncology Specialists PC | Clinic/Center | 19250 Sw 65th Ave, Suite 220, Tualatin, OR 97062-7452 | 2017-04-20 |
| 1750834545 | Jane Elizabeth Adkins Nath | Advanced Practice Midwife | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2016-07-27 |
| 1356717359 | Dana Jones Ulrich | Nurse Practitioner | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2015-08-13 |
| 1952791501 | Lauren Metzger | Social Worker | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2015-02-03 |
| 1346682390 | Dorothy Nell Knapp | Psychologist | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2013-07-18 |
| 1841639887 | Marisa Rose Bryman | Advanced Practice Midwife | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2013-06-24 |
| 1548555451 | Brenda C. Brewer | Nurse Practitioner | 19250 Sw 65th Ave, Tualatin, OR 97062-7452 | 2011-06-20 |
| 1346536299 | Adam N Glaser | Internal Medicine | 19250 Sw 65th Ave, Suite 110, Tualatin, OR 97062-7452 | 2011-06-20 |
| 1689967994 | Marceea Genea Hanlin | Physical Therapist | 19250 Sw 65th Ave, Medical Plaza #1, Suite 125, Tualatin, OR 97062-7452 | 2011-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447417100 | Mary Suzanne Mckenzie | Internal Medicine | 19250 Sw 65th Ave Ste 137, Tualatin, OR 97062-7745 | 2008-05-20 |
| 1730125022 | Jeffrey Martin Bluhm | Internal Medicine | 19250 Sw 65th Ave, Suite 135, Tualatin, OR 97062-7452 | 2006-06-22 |
| 1447294244 | David Jacob Liss | Internal Medicine | 19250 Sw 65th Ave, Suite 135, Tualatin, OR 97062-7452 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548587660 | Anna Kristin Brady | Internal Medicine | 3181 Sw Sam Jackson Park Rd # 67, Portland, OR 97239-3011 | 2010-04-29 |
| 1316142425 | Fayez A. Bader | Internal Medicine | 801 Mission St. Se, Salem, OR 97302-6217 | 2007-06-19 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| 1699869255 | Ralph A Juarez | Internal Medicine | 10201 Se Main St Ste 11, Portland, OR 97216-2937 | 2006-10-03 |
| 1285731059 | Catherine J Markin | Internal Medicine | 2222 Nw Lovejoy St., Mob 1 Suite 411, Portland, OR 97210 | 2006-09-20 |
| 1477520120 | Poh Hock Leng | Internal Medicine | 2222 Nw Lovejoy St Ste 411, Portland, OR 97210-5102 | 2006-03-01 |
| 1407832868 | Razvan I Gosman | Internal Medicine | 2460 Nw Stewart Pkwy, Suite 103, Roseburg, OR 97471-1516 | 2005-12-19 |
| 1629054085 | Luana Ionela Petre Nedita | Internal Medicine | 2460 Nw Stewart Parkway, Suite 103, Roseburg, OR 97471-1516 | 2005-12-19 |
| 1952885659 | Amy Purkey | Internal Medicine | 890 Oak St Se, Salem, OR 97301-3905 | 2018-09-18 |
| 1467979344 | Don Gilbert Burke | Internal Medicine | 2500 Ne Neff Rd, Bend, OR 97701 | 2017-08-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.