GARETH AUBREY TABOR M.D.
NPI 1205866399
Specialist in Lake Oswego, OR

Active since July 04, 2006
27 S STATE ST, SUITE 240, LAKE OSWEGO, OR 97034(503) 636-9608(503) 636-9600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gareth Aubrey Tabor M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARETH AUBREY TABOR M.D. (NPI 1205866399) is an individual specialist in Lake Oswego, Oregon, licensed in Oregon (MD15143) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205866399
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameGARETH AUBREY TABORCredential: M.D.
Location Address27 S STATE ST, SUITE 240Lake Oswego, OR 97034-3935
Mailing Address27 S State St, Suite 240Lake Oswego, OR 97034-3935 · (503) 636-9608 · Fax (503) 636-9600
Fax(503) 636-9600
Sole ProprietorYes
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1205866399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OR · MD15143
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

27 S STATE ST, Lake Oswego, OR 97034

Other Identifiers 3

Medicare ID-Type Unspecified00WCJQQCOR
Medicare UPINE79067OR
Medicaid008859OR

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
27 S STATE ST, SUITE 240
LAKE OSWEGO, OR 97034
Specialist
27 S STATE ST, #240
LAKE OSWEGO, OR 97034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205866399, enumerated as an "individual" on July 04, 2006.

The provider is located at 27 S STATE ST SUITE 240 LAKE OSWEGO, OR 97034 and the phone number is (503) 636-9608.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.