Gibson, Mark Alan

Gibson, Mark Alan is an individual health care provider with primary practice located at 545 Ne 47Th Ave Ste 215 , Portland OR 97213-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Gibson, Mark Alan can be contacted via phone (503) 731-2900.

Contact Information

Primary practice address
545 Ne 47Th Ave Ste 215 Portland OR 97213-2237
Phone: (503) 731-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD28156 Oregon

Profile Details

NPI number 1710122106
LBN Legal business name Gibson, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2008
Last updated May 12th, 2009 - about 15 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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