Individual
CONNIE FRANCIS GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
(503) 726-3740
(503) 726-3741
Mailing address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
(503) 726-3740
(503) 726-3741
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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