Jeffrey Tubiolo, NP
Nurse Practitioner, Family in Milwaukie, OR. Individual provider (NPI-1).
NPI number1689387888
StatusActive
Last updated in NPPESJan 19, 2023
Details
- NPI
- 1689387888
- Entity type
- Individual (NPI-1)
- Name
- Jeffrey Tubiolo
- Credential
- NP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2023
- Certification date
- Jan 19, 2023
- Last updated
- Jan 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 10003600 | OR | Yes |
Practice location
10582 Se 32nd AveMilwaukie, OR 97222-6522
Phone 503-344-6432
Mailing address
17437 Boones Ferry Rd Ste 100Lake Oswego, OR 97035-6202
Phone 707-319-5068
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