Provider Demographics
NPI:1619028693
Name:STEVEN P GABEL, MD, PC
Entity Type:Organization
Organization Name:STEVEN P GABEL, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:GABEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-648-8971
Mailing Address - Street 1:12115 SW 70TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-9648
Mailing Address - Country:US
Mailing Address - Phone:503-693-1118
Mailing Address - Fax:503-893-3127
Practice Address - Street 1:12115 SW 70TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223
Practice Address - Country:US
Practice Address - Phone:503-693-1118
Practice Address - Fax:503-893-3127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD23085207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR287225Medicaid