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Contact Information

JARRED N GIBSON, MS, ATC, C.PED
1310 COBURG RD STE 7
EUGENE, OR97401-5200
 Phone: 541-654-9447
 Fax: 541-972-2018
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pedorthist

224L00000X
 

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JARRED N GIBSON · (Male)

NPI Number 1518920495
Status Active
Credentials MS, ATC, C.PED
Entity Individual
Enumeration date 04/11/2006
Last updated 03/15/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # AT-AT-730880
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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