Individual
MS. CHRISTINA MARIE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1519 HEMLOCK ST, LAKE OSWEGO, OR 97034-6017
(503) 936-4460
Mailing address
1519 HEMLOCK ST, LAKE OSWEGO, OR 97034-6017
(503) 936-4460
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5544
OR
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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