Individual
EMILY POLIS GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 BILL MCDONALD PKWY, BELLINGHAM, WA 98225
(360) 650-3400
(360) 650-3883
Mailing address
2001 BILL MCDONALD PARKWAY, BELLINGHAM, WA 98225
(360) 650-3400
(360) 650-3883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019415
WA
207Q00000X
Family Medicine Physician
WA19415
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110237172
RAILROAD MEDICARE
WA
01
—
7244304
AETNA
WA
05
—
8444101
—
WA
01
—
8872GI
REGENCE
WA
01
—
8938897
L&I
WA
Enumeration date
02/17/2006
Last updated
11/30/2010
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