IndividualActive
Timothy Gobble, MD
NPI 1003174632 · Internal Medicine Physician · Portland, OR
Provider details
- NPI number
- 1003174632
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD168658 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1321 Ne 99th Ave Ste 100
Portland, OR 97220-9437
Phone: (503) 215-9900
Approximate (ZIP-level) locationGet directions
Mailing address
1463 Sw 20th Ct
Gresham, OR 97080-9662
Registry dates
- Enumerated
- 2012-05-02
- Last updated
- 2015-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.