Individual
SIGNA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 758-2287
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 758-2287
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
50
OR
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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