Individual
DR. GERALD E GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
364 SE 8TH AVE, SUITE 108-A, HILLSBORO, OR 97123-4253
(503) 640-3687
(503) 640-3688
Mailing address
364 SE 8TH AVE, SUITE 108-A, HILLSBORO, OR 97123-4253
(503) 640-3687
(503) 640-3688
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
11852
OR
207RH0003X
Hematology & Oncology Physician
Primary
MD11852
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217646
—
OR
01
—
83844001
BCBS
OR
01
—
P00086741
RAILROAD MEDICARE
—
01
—
R118175
MEDICARE #
—
Enumeration date
11/27/2006
Last updated
04/14/2016
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