Individual
JOSLYN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2600 NE NEFF RD, BEND, OR 97701-6337
(541) 706-4800
(541) 706-4806
Mailing address
501 N GRAHAM ST, SUITE #415, PORTLAND, OR 97227-1654
(503) 413-3580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA179204
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2015
Last updated
06/30/2023
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