NPI 1518920495

Jarred Nathanial Gibson, MSATCCPED

Practitioner Pedorthist Eugene, OR

Practice location

Address: 1310 Coburg Rd STE 7, Eugene, OR 97401-5200
Phone: (541) 654-9447
Fax: (541) 972-2018

Registered specialties (2)

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

Other Pedorthist providers in Oregon →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-AT-730880 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1518920495
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Apr 2006
Record last updated: 15 Mar 2019

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.