Individual
LISA MICHELLE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
14508 NE 20TH AVE, STE 300, VANCOUVER, WA 98686-6418
(360) 433-0022
(360) 433-6159
Mailing address
14508 NE 20TH AVE, STE 300, VANCOUVER, WA 98686-6418
(360) 433-0022
(360) 433-6159
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OP00001992
WA
Other
Enumeration date
06/08/2005
Last updated
10/28/2024
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