RYAN GIBBONS LMT NPI 1609173467

NPI Information

Ryan Gibbons, LMT is a specialist in Beaverton, OR. The provider is 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. Ryan Gibbons, LMT NPI is 1609173467. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2155 NW 173RD AVE
103
BEAVERTON, OR
ZIP 97006
Phone: (503) 330-1117

The enumeration date for this NPI number is 2/14/2011 and was last updated on 2/14/2011.

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:

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