Individual
KATHLEEN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00036183
WA
208600000X
Surgery Physician
MD00036183
WA
2086S0129X
Vascular Surgery Physician
Primary
MD00036183
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020050341
RR MEDICARE
WA
05
—
8292211
—
WA
Enumeration date
07/10/2006
Last updated
03/31/2026
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