Individual
TERESA F GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
226 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 601-7385
(503) 601-7325
Mailing address
PO BOX 568, CORNELIUS, OR 97113-0568
(503) 352-8657
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19918
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150147
—
OR
Enumeration date
08/12/2006
Last updated
11/16/2015
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