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Contact Information

THOMAS J TRUBENBACH, F.N.P.
1311 E BARNETT RD
SUITE 201
MEDFORD, OR97504-8225
 Phone: 541-779-5007
 Fax: 541-779-2055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for THOMAS J TRUBENBACH · (Male)

NPI Number 1396759916
Status Active
Credentials F.N.P.
Entity Individual
Enumeration date 07/28/2006
Last updated 11/13/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 200040988RN
  • OR License # 200550156NP
  • OR Medicaid 297670
Hospital affiliation(s)
  • ASHLAND COMMUNITY HOSPITAL - (Acute Care)
    280 MAPLE STREET
    ASHLAND, OR 97520
  • PROVIDENCE MEDFORD MEDICAL CENTER - (Acute Care)
    1111 CRATER LAKE AVENUE
    MEDFORD, OR 97504
  • ROGUE VALLEY MEDICAL CENTER - (Acute Care)
    2825 E BARNETT ROAD
    MEDFORD, OR 97504
  • THREE RIVERS COMMUNITY HOSPITAL - (Acute Care)
    500 SW RAMSEY AVENUE
    GRANTS PASS, OR 97527
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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