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Individual

DR. JOHN ELLIS GOBBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DRPH, RD, LD

Contact information

Practice address
6542 SE LAKE RD STE 202C, MILWAUKIE, OR 97222-2244
(503) 652-5070
(800) 957-1067
Mailing address
1463 SW 20TH CT, GRESHAM, OR 97080-9662
(503) 652-5070
(503) 652-5080

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000543
OR
174H00000X
Health Educator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500641681
OR
Enumeration date
06/01/2005
Last updated
11/27/2024
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