Individual
LARISSA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10748 NE HALSEY ST, PORTLAND, OR 97220-3961
(503) 257-9881
Mailing address
10748 NE HALSEY ST, PORTLAND, OR 97220-3961
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
10143
OR
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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