Individual
BAILEY WYNN GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2282 NW TROOST ST STE 103, ROSEBURG, OR 97471-6072
(541) 672-4798
Mailing address
715 SE LANOLA ST, WINSTON, OR 97496-6559
(719) 580-6610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA222229
OR
Other
Enumeration date
08/07/2023
Last updated
09/14/2024
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