| Doctor Name: | DR. JOHN ELLIS GOBBLE |
| NPI Number: | 1013919323 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DRPH, RD, LD |
| License Number: | 000543 |
| Business Practice Address: | 8800 Se Sunnyside Rd Suite 215-s Clackamas, OR - 970155738 |
| Business Phone Number: | 5036525070 |
| Business Fax Number: | 8009571067 |
| Mailing Address: | 1463 Sw 20th Ct, GRESHAM |
| State: | OR |
| Postal Code: | 970809662 |
| Phone Number: | 5036525070 |
| Fax Number: | 5036525080 |
| NPI Enumeration Date: | 06/01/2005 |
| NPI Last Update Date: | 09/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 000543 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |