Provider Demographics
NPI:1891925129
Name:ABRIO, HENNIE TAMBOT (MD)
Entity Type:Individual
Prefix:DR
First Name:HENNIE
Middle Name:TAMBOT
Last Name:ABRIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HENNIE
Other - Middle Name:GIABROS
Other - Last Name:TAMBOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3369 NE STEPHENS ST
Mailing Address - Street 2:STE 100
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470-1200
Mailing Address - Country:US
Mailing Address - Phone:541-677-8900
Mailing Address - Fax:641-677-8903
Practice Address - Street 1:3369 NE STEPHENS ST
Practice Address - Street 2:STE 100
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470-1200
Practice Address - Country:US
Practice Address - Phone:541-677-8900
Practice Address - Fax:641-677-8903
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD125820207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist