Individual
RICHARD F GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 NE 47TH AVE, PORTLAND, OR 97213-2237
(503) 215-9700
(503) 215-9701
Mailing address
PO BOX 13994, PORTLAND, OR 97213-0994
(503) 215-6494
(203) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19917
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079884
—
OR
01
—
80120791
RR MEDICARE
OR
Enumeration date
06/03/2006
Last updated
06/03/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us