Individual provider · Type 1 NPI

Walker Gib Shibley-Styer

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1134974405 Active

Practice location

1015 NW 22nd Ave
Portland, OR 97210-3025

Call (503) 413-7711 Map

Fax (503) 413-4898

Mailing address

Legacy Good Samaritan Medical Center- Gme 1015 NW 22nd
Portland, OR 97210

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134974405

Walker Gib Shibley-Styer's National Provider Identifier is 1134974405, issued on Apr 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Apr 2, 2026.