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DR. KELLY DEAN GUBLER D.O. NPI 1659342509


NPI Information

NPI: 1659342509
Provider Name: DR. KELLY DEAN GUBLER, D.O.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
501 N GRAHAM
SUITE #580
PORTLAND, OR
ZIP 97227
Phone: (503) 528-0704
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DR. Kelly Dean Gubler, D.O. is a surgery in Portland, OR. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Kelly Dean Gubler, D.O. NPI is 1659342509. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 N GRAHAM
SUITE #580
PORTLAND, OR
ZIP 97227
Phone: (503) 528-0704
Fax: (503) 528-0708

The enumeration date for this NPI number is 1/30/2006 and was last updated on 8/25/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery20A4923CALIFORNIANo
2208600000XSurgeryOP00000951WASHINGTONNo
3208600000XSurgeryDO23244OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F32565MEDICARE UPIN
2287256MEDICAIDOREGON
3109956MEDICARE ID-TYPE UNSPECIFIEDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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