Individual provider · Type 1 NPI

Gagah Prabowo Tamba, BSN, RN, OCN

Oncology Registered Nurse · Portland, OR

NPI number 1952207557 Active

Practice location

3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964

Specialties and licenses

TaxonomyCodeLicense
Oncology Registered Nurse Primary 163WX0200X763218 (CA)

Oncology Registered Nurse: Definition to come...

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About NPI 1952207557

Gagah Prabowo Tamba, BSN, RN, OCN's National Provider Identifier is 1952207557, issued on Oct 19, 2026. The primary taxonomy on file is Oncology Registered Nurse (163WX0200X), and the practice location is in Portland, OR. The record was last updated on Oct 19, 2026.