Gillespie, Robert J

Gillespie, Robert J is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Ste 301, Portland OR 97225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gillespie, Robert J can be contacted via phone (503) 297-3371.

Contact Information

Primary practice address
9555 Sw Barnes Rd Ste 301 Portland OR 97225
Fax: (503) 297-3371
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD22883 Oregon

Profile Details

NPI number 1043209067
LBN Legal business name Gillespie, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jan 25th, 2011 - about 15 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 1043209067 NPPES
Oregon MEDICAID 228958

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