NPI 1407952096 · live from the CMS NPI Registry
Jorge Cabrera Gabilondo, M.D.
Internal Medicine, Gastroenterology in Longview, WA. National Provider Identifier 1407952096, active.
NPI record
| NPI | 1407952096 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1615 Delaware St, Longview, WA 98632 |
| Practice phone | 360-414-2730 |
| Mailing address | 1115 Se 164th Ave, Dept. 358, Vancouver, WA 98683 |
| Enumerated | September 15, 2006 |
| Last updated | February 9, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | E4842 (TX) |
| Internal Medicine, Gastroenterology | 207RG0100X | TD60544072 (WA) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD60544064 (WA) |
| Internal Medicine | 207R00000X | MD60544064 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.