Provider Demographics
NPI:1396938536
Name:GAMBOA, ERIC O (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:O
Last Name:GAMBOA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7360 W. DESCHUTES AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336
Mailing Address - Country:US
Mailing Address - Phone:509-783-0144
Mailing Address - Fax:509-783-8244
Practice Address - Street 1:7360 W. DESCHUTES AVE
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336
Practice Address - Country:US
Practice Address - Phone:509-783-0144
Practice Address - Fax:509-783-8244
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60194697207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology