NPI 1013919323

John Ellis Gobble, DRPHRDLD

Practitioner Registered Dietitian Milwaukie, OR

Practice location

Address: 6542 SE Lake Rd STE 202c, Milwaukie, OR 97222-2244
Phone: (503) 652-5070
Fax: (800) 957-1067
Mailing address: 1463 SW 20th CT, Gresham, OR 97080-9662

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 000543 (OR)

Other Dietitian, Registered providers in Oregon →

Health Educator

Other Service Providers Taxonomy 174H00000X

Other Health Educator providers in Oregon →

Registry record

NPI: 1013919323
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2005
Record last updated: 27 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.