Individual
BENNETT GIBNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1110 SE ALDER ST SUITE 301, PORTLAND, OR 97214-3579
(503) 893-5083
Mailing address
1110 SE ALDER ST SUITE 301, PORTLAND, OR 97214-3579
(928) 380-9677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/23/2018
Last updated
07/11/2023
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