Jobe, Lyle L

Jobe, Lyle L is an individual health care provider with primary practice located at 55 Ne Grand Ave , Portland OR 97232-2968. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Jobe, Lyle L can be contacted via phone (503) 232-1099.

Contact Information

Primary practice address
55 Ne Grand Ave Portland OR 97232-2968
Phone: (503) 232-1099
Fax: (503) 232-3669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD164491 Oregon
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD164491 Oregon

Profile Details

NPI number 1912963299
LBN Legal business name Jobe, Lyle L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Apr 21st, 2014 - about 12 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 1912963299 NPPES
Pennsylvania MEDICAID 1552072
Pennsylvania Other 50023461
Pennsylvania Other 802092

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