Individual
ASHLEY NICOLE GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
720 ALBANY ST, ELGIN, OR 97827-9504
(541) 437-0239
(541) 437-5029
Mailing address
1213 V AVE, LA GRANDE, OR 97850-3162
(541) 910-6264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10005846
OR
Other
Enumeration date
03/21/2023
Last updated
03/10/2025
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