Gibson, John Scott
Gibson, John Scott is an individual health care provider with primary practice located at 2375 Ne Cumulus Ave , Mcminnville OR 97128-8861. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gibson, John Scott can be contacted via phone (503) 472-0888.Contact Information
Primary practice address
2375 Ne Cumulus Ave
Mcminnville OR 97128-8861
Phone: (503) 472-0888
Fax: (503) 434-7246
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD14370 | Oregon |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD14370 | Oregon |
Profile Details
| NPI number | 1255433520 |
|---|---|
| LBN Legal business name | Gibson, John Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jun 19th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255433520 | NPPES |
| Oregon | MEDICAID | 141879 |
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