Whalio Doctors

NPI 1174719686

Frederick Anthony Tibayan, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Portland, OR

Practice location

Address
3181 SW Sam Jackson Park Rd Mail Code: L353, Portland, OR 97239-3011
Phone
(503) 494-7820

Registered specialties (2)

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence MD126341 (OR)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence A77336 (CA)

Registry record

NPI
1174719686
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Sep 2007
Record last updated
7 Jan 2013

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.