Individual
DR. LYLE L JOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 NE GRAND AVE, PORTLAND, OR 97232-2968
(503) 232-1099
(503) 232-3669
Mailing address
17742 MARYLCREEK DR, LAKE OSWEGO, OR 97034-4017
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD164491
OR
2084P0804X
Child & Adolescent Psychiatry Physician
MD164491
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1552072
—
PA
01
—
50023461
CAPITAL BLUE CROSS
PA
01
—
802092
HIGHMARK BS
PA
Enumeration date
04/25/2006
Last updated
04/21/2014
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