Gibbons, Jennifer L.

Gibbons, Jennifer L. is an sole proprietor health care provider with primary practice located at 404 Se 80Th Ave , Portland OR 97215. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Naturopath, Behavioral Health & Social Service Providers / Mental Health. Other Service Providers / Naturopath is her primary health care specialty. Gibbons, Jennifer L. can be contacted via phone (503) 335-3201.

Contact Information

Primary practice address
404 Se 80Th Ave Portland OR 97215
Phone: (503) 335-3201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 959 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1760463699
LBN Legal business name Gibbons, Jennifer L.
Credentials ND
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Apr 21st, 2026 - about 7 months ago

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 1760463699 NPPES
Oregon MEDICAID 182922

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