Individual
JENNIFER L. GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
404 SE 80TH AVE, PORTLAND, OR 97215
(503) 335-3201
Mailing address
2122 NE 88TH AVE, PORTLAND, OR 97220
(503) 502-8377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175F00000X
Naturopath
Primary
959
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182922
—
OR
Enumeration date
11/08/2005
Last updated
04/21/2026
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