Individual
DANIEL M GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3303 SW BOND AVE, SUITE 8 (MAIL CODE CH8C), PORTLAND, OR 97239-4501
(503) 494-8181
Mailing address
2241 LLOYD CTR, PORTLAND, OR 97232-1315
(503) 494-8305
(503) 418-5339
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD15005
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044313
—
OR
05
—
8130437
—
WA
Enumeration date
08/11/2005
Last updated
05/24/2010
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