Individual
JEREMY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
(503) 848-2072
Mailing address
4585 SW 185TH AVE, ALOHA, OR 97078-1557
(503) 591-9280
(503) 848-2072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OR
Other
Enumeration date
08/09/2016
Last updated
04/11/2025
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