MARTHA B GIBSON PA-C - NPI 1962543132 - Physician Assistant in Seattle, WA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

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About Martha B Gibson Pa-c NPPES

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

MARTHA B GIBSON PA-C (NPI 1962543132) is an individual medical provider in Seattle, Washington, licensed in Washington (PA10002796) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1962543132

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARTHA B GIBSONCredential: PA-C

Location Address3223 1ST AVE S, SUITE CSeattle, WA 98134-1850

Mailing Address3223 1st Ave S, Suite CSeattle, WA 98134-1850 · (206) 624-3651 · Fax (206) 624-2391

Phone(206) 624-3651

Fax(206) 624-2391

Sole ProprietorNo

Enumeration DateFebruary 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1962543132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WA · PA10002796

3223 1ST AVE S, Seattle, WA 98134

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Other Identifiers 1

Other202528WA · Labor And Industries

Other Providers at the Same Location NPPES 8

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

MRS. JENNIFER SWIFT PT

Physical Therapist