Individual
JULIE ANN GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1557 TALBOT RD SE, JEFFERSON, OR 97352
(971) 273-7143
(971) 915-0321
Mailing address
1557 TALBOT RD SE, JEFFERSON, OR 97352
(971) 273-7143
(971) 915-0321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19085
OR
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
19085
OR
207QB0002X
Obesity Medicine (Family Medicine) Physician
MD19085
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026478
—
OR
01
—
R157126
MEDICARE PTAN
OR
Enumeration date
07/03/2006
Last updated
03/10/2023
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