Individual provider · Type 1 NPI

Thomas Bodley Stibolt Jr., MD

Critical Care Medicine (Internal Medicine) Physician · Portland, OR

NPI number 1497869309 Active

Practice location

3500 N Interstate Ave
Portland, OR 97227-1196

Call (503) 652-2880 Map

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician 207RC0200XMD14564 (OR)
Critical Care Medicine (Internal Medicine) Physician Primary 207RC0200XMD00035026 (WA)
Pulmonary Disease Physician 207RP1001XMD14564 (OR)
Pulmonary Disease Physician 207RP1001XMD00035026 (WA)

Critical Care Medicine (Internal Medicine) Physician: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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About NPI 1497869309

Thomas Bodley Stibolt Jr., MD's National Provider Identifier is 1497869309, issued on Aug 18, 2006. The primary taxonomy on file is Critical Care Medicine (Internal Medicine) Physician (207RC0200X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.