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1710122106
MARK ALAN GIBSON
PORTLAND, OR
NPI
1710122106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: OR md28156)
Enumeration Date
2008-12-13
Last Update Date
2009-05-12
Business Address
Dr. MARK ALAN GIBSON MD
545 NE 47TH AVE STE 215
PORTLAND, OR 97213-2237
Phone number: 503-731-2900
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Mailing Address
Dr. MARK ALAN GIBSON MD
545 NE 47TH AVE STE 215
PORTLAND, OR 97213-2237
Phone number: 503-731-2900
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