David G Hibbs


Address: 3910 Ne 99th Ave, Portland, OR 97220-3620
Phone: 5033092853

David G Hibbs (NPI# 1427092683, PAC ID# 2264454529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1427092683
PAC ID by PECOS 2264454529
Professional Enrollment ID I20100524000712
Full Name David G Hibbs
Address 3910 Ne 99th Ave
Portland
OR 97220-3620
Phone Number 5033092853
Gender M
Credential NP
Graduation Year 2005
Primary Specialty NURSE PRACTITIONER
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380071 WILLAMETTE VALLEY MEDICAL CENTER

Other Locations

Address Phone Organization
3910 Ne 99th Ave, Portland, OR 97220-3620 5033092853

Organization Information

Office Location

Street Address 3910 NE 99TH AVE
City PORTLAND
State OR
Zip 97220-3620

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Amanda Verienna Hayman Colorectal Surgery (proctology) Oregon Clinic PC 4805 Ne Glisan Garden Level, Portland, OR 97220
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Competitor

Search similar physicians

City PORTLAND
Zip Code 97220
Specialty NURSE PRACTITIONER
City + Specialty PORTLAND + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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