Individual
ZAN GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 SE BELMONT ST, PORTLAND, OR 97214-2815
(503) 872-9664
(503) 231-3051
Mailing address
2100 SE BELMONT ST, PORTLAND, OR 97214-2815
(503) 872-9664
(503) 231-3051
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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