MEDICARE: GABBERT CLINIC PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist

General Provider Information

NPI Number	:	1285379727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GABBERT CLINIC PLLC

Provider Business Mailing Address
First Line	:	7710 NE GREENWOOD DR STE 220
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98662-7904
Country	:	US
Telephone Number	:	360-207-1554
Fax Number	:	360-583-3442

Provider Business Practice Location Address
First Line	:	7710 NE GREENWOOD DR STE 220
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98662-7904
Country	:	US
Telephone Number	:	360-207-1554
Fax Number	:	360-583-3442

Authorized Official
Title or Position	:	CERTIFIED HAND THERAPIST
Name	:	AMY GABBERT
Credential	:	OTR/L, CHT
Telephone Number	:	360-207-1554

Provider Enumeration Date	:	04/29/2022
Last Update Date	:	04/27/2023

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