Gibson, Mark Alan
Gibson, Mark Alan is an individual health care provider with primary practice located at 545 Ne 47Th Ave Ste 215 , Portland OR 97213-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Gibson, Mark Alan can be contacted via phone (503) 731-2900.Contact Information
Primary practice address
545 Ne 47Th Ave Ste 215
Portland OR 97213-2237
Phone: (503) 731-2900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | MD28156 | Oregon |
Profile Details
| NPI number | 1710122106 |
|---|---|
| LBN Legal business name | Gibson, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2008 |
| Last updated | May 12th, 2009 - about 17 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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