SearchOregon225XP0200X

Korina Gibson

NPI 1417644287 · on the registry since 2023 · sole proprietor

Practice

Address
2835 Nw Bryant St
Corvallis, OR 97330
Phone
(510) 798-5096

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Also registered as
225XP0200X
Licence states on file
CA, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon