Individual
DR. MAUDE NOBUE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 COLLEGE ST SE, LACEY, WA 98503-4389
(360) 486-2900
(360) 486-2901
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-17781
HI
207Q00000X
Family Medicine Physician
Primary
MD60911951
WA
Other
Enumeration date
06/08/2009
Last updated
05/20/2021
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