Organization
GIBBONS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GIBBONS DPT (OWNER/PT)
(503) 512-9140
Entity
Organization
Contact information
Practice address
10151 SE 100TH DR, HAPPY VALLEY, OR 97086-7240
(503) 512-9140
Mailing address
15505 NE 5TH ST, VANCOUVER, WA 98684-3376
(503) 512-9140
(503) 912-7007
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5974
OR
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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