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JEREMY ELDON GIBBON
NPI 1952507345
Counselor in Portland, OR

Active since June 22, 2007
3415 SE POWELL BLVD, PORTLAND, OR 97202(503) 234-9591 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Eldon Gibbon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY ELDON GIBBON (NPI 1952507345) is an individual counselor in Portland, Oregon and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1952507345
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJEREMY ELDON GIBBON
Location Address3415 SE POWELL BLVDPortland, OR 97202-3371
Mailing Address1035 Se 12th Ave Apt 16Portland, OR 97214-2592 · (503) 475-3373
Phone(503) 234-9591
Sole ProprietorNo
Enumeration DateJune 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1952507345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3415 SE POWELL BLVD, Portland, OR 97202
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY HETLAGE MSW
Social Worker
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
CHELSEA YOUNG
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
HALLIE RISWOLD
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (541) 757-1852
MICAELA BUSACK
Case Manager/Care Coordinator
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
DANIEL TRACHUK
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
MATTHEW PAUL SIMONSON
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
ELSA CHRISTINA SPAULDING
Counselor
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 234-9591
PETAL GRIFFITH BS
Counselor (School)
3415 SE POWELL BLVD
PORTLAND, OR 97202
Multnomah County (503) 205-4334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Gibbon's NPI number?

The NPI number for Jeremy Gibbon is 1952507345. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is Jeremy Gibbon located?

Jeremy Gibbon practices at 3415 SE Powell Blvd, Portland, OR 97202. The listed phone number is (503) 234-9591.

What is Jeremy Gibbon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jeremy Gibbon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.