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MR. JARRED NATHANIAL GIBSON MS ATC C.PED NPI 1518920495


NPI Information

NPI: 1518920495
Provider Name: MR. JARRED NATHANIAL GIBSON, MS, ATC, C.PED
Classification: Pedorthist - 224L00000X
Entity Type: Individual
Address:
1310 COBURG RD STE 7
EUGENE, OR
ZIP 97401
Phone: (541) 654-9447
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MR. Jarred Nathanial Gibson, MS, ATC, C.PED is a pedorthist in Eugene, OR. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. MR. Jarred Nathanial Gibson, MS, ATC, C.PED NPI is 1518920495. The provider is registered as an individual entity type and is a multiple single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1310 COBURG RD STE 7
EUGENE, OR
ZIP 97401-200
Phone: (541) 654-9447
Fax: (541) 972-2018

The enumeration date for this NPI number is 4/11/2006 and was last updated on 3/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12255A2300XSpecialist/TechnologistAthletic TrainerAT-AT-730880OREGONNo
2224L00000XPedorthistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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