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Individual

DR. STEVEN MITCHELL GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3710 SW US VETERANS HOSPITAL ROAD, PORTLAND VA MEDICAL CENTER, PORTLAND, OR 97239
(503) 220-8262
Mailing address
POBOX 263, NEHALEM, OR 97131

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5866
NV

Other

Enumeration date
10/02/2006
Last updated
07/08/2007
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