Individual
TIMOTHY R GOBBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 NE 99TH AVE STE 100, PORTLAND, OR 97220-9437
(503) 215-9900
Mailing address
1463 SW 20TH CT, GRESHAM, OR 97080-9662
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD168658
OR
Other
Enumeration date
05/02/2012
Last updated
08/11/2015
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