ALLEN GIBSON

BEND, OR
NPI1700251196
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  00-07-13)
Enumeration Date2015-12-10
Last Update Date2015-12-10
Business Address
-- ALLEN GIBSON
23 NW GREENWOOD AVE
BEND, OR 97703-2078
Phone number: 541-383-4293
Mailing Address
-- ALLEN GIBSON
19394 SW LAURELHURST WAY
BEND, OR 97702-3192
Phone number: 541-280-2990
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