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NPI 1780849653

NPI 1780849653 : GIBBS NATURAL HEALING CENTRE, PC : BEAVERTON, OR

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General NPI Number Information
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    NPI Number           |    1780849653
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    Entity Type          |    Organization 
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    Legal Business Name  |    GIBBS NATURAL HEALING CENTRE, PC 
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Dates
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    Enumeration Date     |    07/21/2008
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    Last Update Date     |    02/03/2014
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Provider Practice Location Address
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    Address Line         |    1975 NW 167TH PL STE 100 
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    City                 |    BEAVERTON
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    State                |    OR
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    Zip                  |    97006-4908
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    Country              |    US
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    Telephone            |    503-522-4148
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    Fax                  |    503-738-9946
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Provider Business Mailing Address
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    Address Line         |    1975 NW 167TH PL STE 100 
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    City                 |    BEAVERTON
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    State                |    OR
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    Zip                  |    97006-4908
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    Country              |    US
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    Telephone            |    503-522-4148
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    Fax                  |    503-738-9946
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Authorized Official
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    Title or Position    |    SECRETARY
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    Name                 |     MARY ANN GIBBS 
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    Credential           |    D.C.
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    Telephone            |    503-522-4148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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