Individual
JEREMY LEIGHTON GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(971) 334-5978
Mailing address
3907 SE 9TH AVE, PORTLAND, OR 97202-3708
(206) 384-5552
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
60662859
WA
207L00000X
Anesthesiology Physician
Primary
MD162049
OR
Other
Enumeration date
05/13/2008
Last updated
03/01/2023
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