Individual
WALKER GIB SHIBLEY-STYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
(503) 413-4898
Mailing address
LEGACY GOOD SAMARITAN MEDICAL CENTER- GME 1015 NW 22ND, PORTLAND, OR 97210
(503) 413-7711
(503) 413-4898
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
04/02/2026
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