Gore, Tundike

Gore, Tundike is an sole proprietor health care provider with primary practice located at 5305 River Rd N Ste B , Keizer OR 97303-5324. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gore, Tundike can be contacted via phone (972) 765-7168.

Contact Information

Primary practice address
5305 River Rd N Ste B Keizer OR 97303-5324
Phone: (972) 765-7168
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP123999 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 202109011NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 20211168NP-PP Oregon

Profile Details

NPI number 1346681020
LBN Legal business name Gore, Tundike
Credentials DNP, PMHNP, FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2013
Last updated Oct 7th, 2021 - about 5 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 1346681020 NPPES
Texas Other NP-C NUMBER: F061387 NP-C NUMBER: F0613870

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