Gaboury, Cynthia Lou

Gaboury, Cynthia Lou is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Gaboury, Cynthia Lou can be contacted via phone (503) 494-3442.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-3442
Fax: (503) 494-5330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD213498 Oregon
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME 83195 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD213498 Oregon

Profile Details

NPI number 1063413276
LBN Legal business name Gaboury, Cynthia Lou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Feb 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063413276 NPPES
Florida MEDICAID 262448600

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