Individual
DR. MARK ALAN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
545 NE 47TH AVE STE 215, PORTLAND, OR 97213-2237
(503) 731-2900
Mailing address
545 NE 47TH AVE STE 215, PORTLAND, OR 97213-2237
(503) 731-2900
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD28156
OR
Other
Enumeration date
12/13/2008
Last updated
05/12/2009
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