Sibell, David Matthew
Sibell, David Matthew is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Uhs-2, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Sibell, David Matthew can be contacted via phone (503) 494-4910.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd Uhs-2
Portland OR 97239-3011
Phone: (503) 494-4910
Fax: (503) 494-8368
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD20603 | Oregon |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD20603 | Oregon |
Profile Details
| NPI number | 1497786743 |
|---|---|
| LBN Legal business name | Sibell, David Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jul 17th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497786743 | NPPES |
| Oregon | MEDICAID | 150515 |
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