DR. THOMAS BODLEY STIBOLT JR. M.D.
NPI 1497869309
Internal Medicine - Critical Care Medicine in Portland, OR

Q: What is Thomas Stibolt's NPI number?

The NPI number for Thomas Stibolt is 1497869309. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Thomas Stibolt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Stibolt was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2006

3500 N INTERSTATE AVE, PORTLAND, OR 97227(503) 652-2880 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Thomas Bodley Stibolt Jr. M.d. NPPES

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

DR. THOMAS BODLEY STIBOLT JR. M.D. (NPI 1497869309) is an individual critical care medicine provider in Portland, Oregon, licensed in Washington (MD00035026) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1497869309

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameDR. THOMAS BODLEY STIBOLT JR.Credential: M.D.

Location Address3500 N INTERSTATE AVEPortland, OR 97227-1196

Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031 · (503) 652-2880

Phone(503) 652-2880

Sole ProprietorNo

Enumeration DateAugust 18, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1497869309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

Licenses✔ Licensed in WA · MD00035026✔ Licensed in OR · MD14564

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD14564 (OR), MD00035026 (WA)

3500 N INTERSTATE AVE, Portland, OR 97227

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Other Providers at the Same Location NPPES 20

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

MR. JASON JOHN POWERS M.D.

Internal Medicine (Gastroenterology)