JACOB RYAN GIBSON

PORTLAND, OR
NPI1477411239
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: OR  10051976)
Enumeration Date2026-01-12
Last Update Date2026-01-13
Business Address
JACOB RYAN GIBSON
17720 NE HALSEY ST STE A
PORTLAND, OR 97230-6771
Phone number: 503-654-7654
Mailing Address
JACOB RYAN GIBSON
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170