Individual
DR. JORGE CABRERA GABILONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2730
(360) 414-2739
Mailing address
1115 SE 164TH AVE, DEPT. 358, VANCOUVER, WA 98683-9324
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60544064
WA
207RG0100X
Gastroenterology Physician
E4842
TX
207RG0100X
Gastroenterology Physician
Primary
MD60544064
WA
207RG0100X
Gastroenterology Physician
TD60544072
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0899460-01
—
TX
05
—
2043612
—
WA
05
—
500684268
—
OR
Enumeration date
09/15/2006
Last updated
02/09/2016
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