Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Alan Gibson, MD

Individual provider Vascular & Interventional Radiology Physician · NPI 1710122106

Dr. Mark Alan Gibson, MD is a Diagnostic Radiology in Portland, Oregon. Graduated from Indiana University School of Medicine in 2003, 23 years ago. Practices with Radiology Specialists of the Northwest PC, a 28-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
23
Trained at
Indiana University School of Medicine
Licensed in
OR
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

545 NE 47th Ave Ste 215
Portland, OR 97213-2237
Phone: (503) 731-2900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD28156 (OR)

Record details

NPI number1710122106
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2008
Last updated in NPPESMay 12, 2009
Mailing address545 Ne 47th Ave Ste 215, Portland, OR 97213-2237

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Radiology Specialists Of The Northwest Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations16 on file with Medicare

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