John Gipson, VA60681359

NPI 1952034514 · on the registry since 2022 · sole proprietor

Practice

Address: 4840 Journey St Se
Olympia, WA 98513
Phone: (360) 491-9770
Fax: (360) 486-9556
Organisation at this address: Nisqually Indian Tribe
Nisqually Indian Tribe
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 183700000X
183700000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-06-10

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 Washington