Individual
DR. DARRELL I GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1905 QUEEN ANNE AVE N, SEATTLE, WA 98109-2500
(206) 282-8275
(206) 282-8784
Mailing address
1905 QUEEN ANNE AVE N, SEATTLE, WA 98109-2500
(206) 282-8275
(206) 282-8784
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002574
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181024001
GROUP HEALTH
WA
01
—
611318000
DEPT OF L&I
WA
01
—
96671
FIRST CHOICE PIN#
WA
01
—
GI4533
BLUE SHIELD
WA
Enumeration date
03/02/2007
Last updated
04/22/2008
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