Individual
JEFFREY TUBIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
10582 SE 32ND AVE, MILWAUKIE, OR 97222-6522
(503) 344-6432
Mailing address
17437 BOONES FERRY RD STE 100, LAKE OSWEGO, OR 97035-6202
(707) 319-5068
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10003600
OR
Other
Enumeration date
01/03/2023
Last updated
01/19/2023
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