Jeremy Leighton Gibson, MD | |
10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 | |
(971) 334-5978 | |
Not Available |
Full Name | Jeremy Leighton Gibson |
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Gender | Male |
Speciality | Anesthesiology |
Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821265430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 60662859 (Washington) | Secondary |
207L00000X | Anesthesiology | MD162049 (Oregon) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
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Jeremy Leighton Gibson, MD 3907 Se 9th Ave, Portland, OR 97202-3708 Ph: (206) 384-5552 | Jeremy Leighton Gibson, MD 10180 Se Sunnyside Rd, Clackamas, OR 97015-8970 Ph: (971) 334-5978 |
Dr. Alvin Yichieh Li, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Naun Chang, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Road, Ksmc Dept. Of Anesthesia, Clackamas, OR 97015 Phone: 503-638-2030 | |
Thomas Janisse, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Gregory James Blair, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 971-219-7925 | |
Dr. Melvyn Goldstein, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-652-2880 | |
Dr. Daniel William Bytnar, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10180 Se Sunnyside Rd, Dept Anesthesiology, Clackamas, OR 97015 Phone: 503-571-4506 | |
Mark B Heinonen, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 10180 Se Sunnyside Rd, Sunnyside Medical Center, Clackamas, OR 97015 Phone: 503-652-2880 |