Individual
MARY ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1425 BEAVERCREEK RD, OREGON CITY, OR 97045-4076
(503) 655-8471
(503) 655-8595
Mailing address
728 MOLALLA AVE, OREGON CITY, OR 97045-2799
(503) 656-9030
(503) 656-9030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
080039641RN
OR
363LC1500X
Community Health Nurse Practitioner
Primary
200150136NP
OR
Other
Enumeration date
12/13/2006
Last updated
11/23/2016
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