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Individual

MR. MARKHAM SCOTT GIBLIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1300 NW HARRISON BLVD, STE # 140, CORVALLIS, OR 97330-5916
(541) 738-6516
(541) 738-6517
Mailing address
1300 NW HARRISON BLVD, STE # 140, CORVALLIS, OR 97330-5916
(541) 738-6516
(541) 738-6517

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
925
OR

Other

Enumeration date
04/14/2006
Last updated
07/08/2007
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