Individual provider · Type 1 NPI

Ryan Gibbons, LMT

Specialist · Beaverton, OR

NPI number 1609173467 Active

Practice location

2155 NW 173rd Ave, 103
Beaverton, OR 97006

Call (503) 330-1117 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X10908 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1609173467

Ryan Gibbons, LMT's National Provider Identifier is 1609173467, issued on Feb 14, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beaverton, OR. The record was last updated on Feb 14, 2011.