NPI 1073959110

Christina Marie Gibson, LMT

Practitioner Contractor Lake Oswego, OR

Practice location

Address: 1519 Hemlock St, Lake Oswego, OR 97034-6017
Phone: (503) 936-4460

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 5544 (OR)

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Registry record

NPI: 1073959110
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 May 2013
Record last updated: 15 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.