Individual
MR. WILLIAM JOHN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADDICTION THARAPIST
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, V-3-SATP, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
PO BOX 1035, PORTLAND, OR 97207-1035
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001486
WA
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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