1992838866 NPI number — FRANK COBARRUBIA DPMPC

Table of content: (NPI 1992838866)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992838866 NPI number — FRANK COBARRUBIA DPMPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRANK COBARRUBIA DPMPC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992838866
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2090 NE WYATT CT
Provider Second Line Business Mailing Address:
STE 201
Provider Business Mailing Address City Name:
BEND
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97701-7687
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-385-7129
Provider Business Mailing Address Fax Number:
541-385-7138

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2090 NE WYATT CT
Provider Second Line Business Practice Location Address:
STE. 201
Provider Business Practice Location Address City Name:
BEND
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97701-7687
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-385-7129
Provider Business Practice Location Address Fax Number:
541-385-7138
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
COBARRUBIA
Authorized Official First Name:
FRANK
Authorized Official Middle Name:
ROBERT
Authorized Official Title or Position:
DOCTOR
Authorized Official Telephone Number:
541-385-7129

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  DP000331 , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com