Individual
BRENDA K GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
16301 SE 82ND DR, CLACKAMAS, OR 97015-9598
(503) 657-1575
Mailing address
16301 SE 82ND DR, CLACKAMAS, OR 97015-9598
(503) 657-1575
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7235
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
7235
OR
Other
Enumeration date
02/20/2012
Last updated
04/26/2017
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