LARISSA GIBSON

PORTLAND, OR
NPI1538097324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: OR  10143)
Enumeration Date2026-05-12
Last Update Date2026-05-12
Business Address
LARISSA GIBSON
10748 NE HALSEY ST
PORTLAND, OR 97220-3961
Phone number: 503-257-9881
Mailing Address
LARISSA GIBSON
10748 NE HALSEY ST
PORTLAND, OR 97220-3961
Phone number: