Individual
JOHN SCOTT GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2375 NE CUMULUS AVE, MCMINNVILLE, OR 97128-8861
(503) 472-0888
(503) 434-7246
Mailing address
PO BOX 2, MCMINNVILLE, OR 97128-0002
(503) 472-0888
(503) 434-7246
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14370
OR
207RG0100X
Gastroenterology Physician
MD14370
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141879
—
OR
Enumeration date
09/05/2006
Last updated
06/19/2019
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