Doctor Name: | DR. GILBERT M. SIMAS |
NPI Number: | 1497802383 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C1-0010406 |
Business Practice Address: | 11389 Nw Pumpkin Ct Portland, OR - 972291178 |
Business Phone Number: | 3609534357 |
Business Fax Number: | |
Mailing Address: | 11389 Nw Pumpkin Ct, PORTLAND |
State: | OR |
Postal Code: | 972291178 |
Phone Number: | 3609534357 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 09/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | C1-0010406 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |