LARISSA GIBSON
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Sports Medicine
Provider Information
- NPI Number
1538097324- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10748 NE HALSEY ST, PORTLAND, OR, 972203961
- Phone
- (503) 257-9881
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Sports Medicine
Primary License: OR #10143
All Addresses
MAILING
10748 NE HALSEY ST
PORTLAND, OR, 972203961