Gibbs, Daniel M

Gibbs, Daniel M is an individual health care provider with primary practice located at 3303 Sw Bond Ave Suite 8 (Mail Code Ch8C), Portland OR 97239-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gibbs, Daniel M can be contacted via phone (503) 494-8181.

Contact Information

Primary practice address
3303 Sw Bond Ave Suite 8 (Mail Code Ch8C) Portland OR 97239-4501
Phone: (503) 494-8181
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD15005 Oregon

Profile Details

NPI number 1720080427
LBN Legal business name Gibbs, Daniel M
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated May 24th, 2010 - about 16 years 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 1720080427 NPPES
Oregon MEDICAID 044313
Oregon MEDICAID 8130437

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