Ervin Gene Stubbs, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

7745 Issued in OR

Practice address

7032 SW 3Rd Ave
Portland, OR 97219-2214

Phone

(503) 939-7351

Fax

(503) 722-4450

NPI assigned

Sep 9, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ervin Gene Stubbs Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1235446303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7032 SW 3RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192214",
            "telephone_number": "503-939-7351",
            "fax_number": "503-722-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7032 SW 3RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192214",
            "telephone_number": "503-939-7351",
            "fax_number": "503-722-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "ERVIN",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "7745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERVIN",
            "last_name": "STUBBS",
            "middle_name": "GENE",
            "credential": "M.D., P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristina Denise Stuart, MA
• Noah Stuart
• Roger Stuart, MD
• Samantha E Stuart, D.C.
• Katie Stubbers, MA
• Michael Thomas Stubbs, D.C.
• Miran Stubican, MD
• Ryland Samuel Stucke, M.D.
• Stephanie Brooke Stucke, PA
• F. Robert Stuckey, PH.D.

• Child & Adolescent Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Child & Adolescent Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.