DR. MARK ALAN GIBSON (NPI# 1710122106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710122106 |
| Entity Type | Individual |
| Full Name | DR. MARK ALAN GIBSON |
| Credential | MD |
| Practice Address |
545 Ne 47th Ave Ste 215 Portland OR 97213-2237 |
| Practice Telephone | 5037312900 |
| Mailing Telephone | 5037312900 |
| Enumeration Date | 2008-12-13 |
| Last Update Date | 2009-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD28156 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434380 | Mark S. Gibson | Specialist/Technologist, Other | 2104 Blind Pond Ave, Lutz, FL 33549-5580 | 2013-09-17 |
| 1215211008 | Mark J. Gibson | Social Worker | 3610 American River Dr Ste 140, Sacramento, CA 95864-5919 | 2011-09-28 |
| 1922324276 | Mark Duane Gibson | Military Health Care Provider | Uss Louisville, Fpo, AP 96671-2404 | 2010-04-12 |
| 1225115561 | Mark Tanner Gibson | Psychologist | 175 River View Dr, Green River, WY 82935-4811 | 2006-11-01 |
| 1437133444 | Mark C Gibson | Optometrist | 16306 E Lake Shore Dr, Austin, TX 78734-1132 | 2005-12-02 |
| 1720083439 | Mark William Gibson | Chiropractor | 7a Reich Street, Marsing, ID 83639-0252 | 2005-06-17 |
| 1619391802 | Mark Gibson | Orthotist | 3334 Capital Medical Blvd #400, Tallahassee, FL 32308-4470 | 2014-02-10 |
| 1417231465 | Mark W Gibson | Pharmacist | 1982 Eight Mile Rd, Cincinnati, OH 45255-2609 | 2011-10-07 |
| 1174845259 | Mark Anthony Gibson II | Physical Therapist | 1028 E Main St, Morehead, KY 40351-1328 | 2010-02-17 |
| 1780737437 | Mark S Gibson | Emergency Medicine | 3200 E Racine St, Janesville, WI 53546-2343 | 2007-01-18 |
| Street Address |
545 NE 47TH AVE STE 215 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669422416 | James J Hasenauer | Radiology | 545 Ne 47th Ave Ste 215, Portland, OR 97213-2237 | 2006-05-11 |
| 1922149988 | Carl D Vegas | Radiology | 545 Ne 47th Ave Ste 215, Portland, OR 97213-2237 | 2007-02-10 |
| 1063429991 | Deborah Lynn Arnold | Radiology | 545 Ne 47th Ave Ste 215, Portland, OR 97213-2237 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194282400 | Comprehensive Interventional Care Centers, Pllc | Radiology | 6958 Sw Varns St, Portland, OR 97223-0000 | 2019-02-22 |
| 1538587118 | Masahiro Horikawa | Radiology | 3155 Sw Moody Ave Apt 503, Portland, OR 97239-4733 | 2014-04-01 |
| 1073956991 | Marc Michael Delrosario Lim | Radiology | 3181 Sw Sam Jackson Park Rd # L342, Portland, OR 97239-3011 | 2013-04-10 |
| 1588283154 | Pnw Management Group | Radiology | 6958 Sw Varns St, Portland, OR 97223-8281 | 2020-04-13 |
| 1780149260 | Radiology Professionals, P.a. | Radiology | 144 State Street, Portland, ME 04101-3776 | 2019-02-08 |
| 1669905261 | Ningcheng Li | Radiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2017-04-10 |
| 1669868741 | Lisa Walker | Radiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2015-04-15 |
| 1336568369 | Hasnain A Hasham | Radiology | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2014-04-07 |
| 1689917866 | Timothy Huber | Radiology | 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 | 2013-04-05 |
| 1396036620 | Nutcha Pinjaroen | Radiology | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2011-04-20 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.