Individual
JENNIFER M. GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3449 N ANCHOR ST STE 300A, PORTLAND, OR 97217-7679
(503) 283-0013
(503) 283-0785
Mailing address
3449 N ANCHOR ST STE 300A, PORTLAND, OR 97217-7679
(503) 283-0013
(503) 283-0785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37913
IA
208VP0000X
Pain Medicine Physician
37913
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144299900
MN MEDICAID
IA
05
—
1144299900
—
IA
Enumeration date
03/15/2006
Last updated
03/27/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us