Gibb, Tyler Douglass

Gibb, Tyler Douglass is an individual health care provider with primary practice located at 400 Ne Mother Joseph Pl , Vancouver WA 98664-3200. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gibb, Tyler Douglass can be contacted via phone (360) 425-5131.

Contact Information

Primary practice address
400 Ne Mother Joseph Pl Vancouver WA 98664-3200
Phone: (360) 425-5131
Fax: (360) 425-5509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00034512 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD00034512 Washington

Profile Details

NPI number 1255311288
LBN Legal business name Gibb, Tyler Douglass
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255311288 NPPES
Washington Other 0383459 L&I-RADIA SEATTLE
Washington Other 0422055 L&I-RADIA SEATTLE
Washington Other 0383458 L&I-RADIA SEATTLE
Washington Other 0415512 L&I-RADIA SEATTLE
Washington MEDICAID 1005976 L&I-RADIA SEATTLE
Washington MEDICAID 150946 L&I-RADIA SEATTLE
Washington Other 0422056 L&I-RADIA SEATTLE
Washington Other 0402006 L&I-RADIA SEATTLE

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