Gareth a. Tabor M.D., P.C

Primary specialty

SpecialistTaxonomy code 174400000X

License

15143 Issued in OR

Legal business name

GARETH A. TABOR M.D., P.C

Practice address

27 S State St
#240
Lake Oswego, OR 97034-3935

Phone

(503) 636-9608

Fax

(503) 636-9600

NPI assigned

Nov 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Janet Tabor

Title

Office Manager

Phone

(503) 636-9608

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1295915098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 S STATE ST",
            "address_2": "#240",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343935",
            "telephone_number": "503-636-9608",
            "fax_number": "503-636-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S STATE ST",
            "address_2": "#240",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343935",
            "telephone_number": "503-636-9608",
            "fax_number": "503-636-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARETH A. TABOR M.D., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-636-9608",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "15143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008859",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DR. TABOR",
            "identifier": "1205866399",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marie Galligan, DC
• Claudia Maria Gana Streng, MSW, LCSW
• Robert William Garber, LCSW
• Kelly Garcia
• Rachel E Garcia, LCSW
• Brooke N Garofalo, RN
• Jeffrey H Garrett, OD
• Jennifer Ann Gault, FNP-C, MSN, RN
• Karen Sue Bonafede Gault, L.AC.
• Margaret Maude Gazeley, R.N.

• Specialist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.