Individual
DR. LARRY LYMAN TIBBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8601 SE 141ST CT, HAPPY VALLEY, OR 97086-5648
(503) 761-4205
(503) 761-4205
Mailing address
8601 SE 141ST CT, HAPPY VALLEY, OR 97086-5648
(503) 761-4205
(503) 761-4205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8990
OR
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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