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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. GAGAH PRABOWO TAMBA BSN, RN, OCN
NPI 1952207557
Registered Nurse - Oncology in Portland, OR

Active since October 19, 2026
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239(503) 220-8262 Get Directions Write a Review

NPPES record added: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Gagah Prabowo Tamba Bsn, Rn, Ocn NPPES

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

MR. GAGAH PRABOWO TAMBA BSN, RN, OCN (NPI 1952207557) is an individual oncology provider in Portland, Oregon, licensed in California (763218) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1952207557
Entity TypeIndividualMale
Primary Taxonomy163WX0200X
Provider Legal NameMR. GAGAH PRABOWO TAMBACredential: BSN, RN, OCN
Location Address3710 SW US VETERANS HOSPITAL RDPortland, OR 97239-2964
Mailing Address3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964 · (503) 220-8262
Phone(503) 220-8262
Sole ProprietorNo
Enumeration DateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1952207557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · OncologyNursing Service Providers
Taxonomy Code163WX0200X
License✔ Licensed in CA · 763218
3710 SW US VETERANS HOSPITAL RD, Portland, OR 97239
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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.

DR. JESSICA J KHALILI PHARMD
Pharmacist
3710 SW US VETERANS HOSPITAL RD, PHARMACY DEPARTMENT
PORTLAND, OR 97239
Multnomah County (503) 402-2946
MICHELLE LEA KELLER
Social Worker (Clinical)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. AMY W WAGNER PH.D.
Psychologist
3710 SW US VETERANS HOSPITAL RD, V3-SATP
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. DAVID MORRISON DOUGLAS MD
Psychiatry & Neurology (Geriatric Psychiatry)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 721-1440
KENNETH JOHN SCALAPINO M.D.
Internal Medicine (Rheumatology)
3710 SW US VETERANS HOSPITAL RD, P3MED
PORTLAND, OR 97239
Multnomah County (503) 220-8262
MS. LAKSHI MARIE ALDREDGE NP
Nurse Practitioner (Adult Health)
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8268
GRACE CHIEN M.D.
Anesthesiology
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239
Multnomah County (503) 220-8262
DR. MARI UCHISHIBA PHARMD, CDE
Pharmacist (Pharmacotherapy)
3710 SW US VETERANS HOSPITAL RD, GP1P3PHAR
PORTLAND, OR 97239
Multnomah County (503) 220-8262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gagah Tamba's NPI number?

The NPI number for Gagah Tamba is 1952207557. It was assigned to this individual provider in the NPPES registry on October 19, 2026.

Where is Gagah Tamba located?

Gagah Tamba practices at 3710 SW Us Veterans Hospital Rd, Portland, OR 97239. The listed phone number is (503) 220-8262.

What is Gagah Tamba's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Oncology, with taxonomy code 163WX0200X.

When was this NPI record last updated?

The NPPES record for Gagah Tamba was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.