Gibbons, Jennifer L.
Gibbons, Jennifer L. is an individual health care provider with primary practice located at 10360 Ne Wasco St , Portland OR 97220-3927. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Gibbons, Jennifer L. can be contacted via phone (503) 252-8125.Contact Information
Primary practice address
10360 Ne Wasco St
Portland OR 97220-3927
Phone: (503) 252-8125
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naturopath | 175F00000X | 959 | Oregon |
Profile Details
| NPI number | 1760463699 |
|---|---|
| LBN Legal business name | Gibbons, Jennifer L. |
| Credentials | ND |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760463699 | NPPES |
| Oregon | MEDICAID | 182922 |
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