Gibson, Jennifer M.

Gibson, Jennifer M. is an individual health care provider with primary practice located at 3449 N Anchor St Ste 300A , Portland OR 97217-7679. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Gibson, Jennifer M. can be contacted via phone (503) 283-0013.

Contact Information

Primary practice address
3449 N Anchor St Ste 300A Portland OR 97217-7679
Phone: (503) 283-0013
Fax: (503) 283-0785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 37913 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37913 Iowa

Profile Details

NPI number 1144299900
LBN Legal business name Gibson, Jennifer M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 27th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144299900 NPPES
Iowa MEDICAID 1144299900
Iowa Other 1144299900
Iowa Other 1144299900

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