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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760463699 NPPES
Oregon MEDICAID 182922

Popular Providers