Individual
MICHAEL DEAN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 KELLY PL STE 234, WALLA WALLA, WA 99362-8607
(509) 524-2920
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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