Individual
MARION K GIBSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1900 KINGSLEY RD, EUGENE, OR 97401-1719
(541) 681-5475
(541) 342-6451
Mailing address
392 DARTMOOR DR, EUGENE, OR 97401-5728
(541) 345-7665
(541) 342-6451
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-079988
OR
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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