Individual
JASON PAUL GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT/BS
Contact information
Practice address
815 S PEARL ST, TACOMA, WA 98465-2117
(253) 396-5930
(253) 566-2252
Mailing address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5930
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
CG60133468
WA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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