Individual
MR. JARRED NATHANIAL GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, C.PED
Contact information
Practice address
1310 COBURG RD STE 7, EUGENE, OR 97401-5200
(541) 654-9447
(541) 972-2018
Mailing address
1310 COBURG RD STE 7, EUGENE, OR 97401-5200
(541) 654-9447
(541) 972-2018
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
2255A2300X
Athletic Trainer
AT-AT-730880
OR
Other
Enumeration date
04/11/2006
Last updated
03/15/2019
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