CONNIE FRANCIS GIBSON (NPI# 1003180340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003180340 |
| Entity Type | Individual |
| Full Name | CONNIE FRANCIS GIBSON |
| Practice Address |
10313 Sw 69th Ave Tigard OR 97223-9103 |
| Practice Telephone | 5037263740 |
| Practice Fax Number | 5037263741 |
| Mailing Telephone | 5037263740 |
| Mailing Fax Number | 5037263741 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083241350 | Connie Ann Gibson | Counselor | 3321 W Kennewick Ave Ste 150, Kennewick, WA 99336-2968 | 2020-03-25 |
| 1144650425 | Connie Gibson | Counselor | 121 Jackson St, Newnan, GA 30263-1572 | 2013-11-22 |
| 1013223635 | Connie Gibson | Pharmacist | 10919 Louetta Rd, Houston, TX 77070-1710 | 2010-08-19 |
| 1386778918 | Connie J Gibson | Social Worker | 540 E 1st St, Waconia, MN 55387-1600 | 2007-03-15 |
| Street Address |
10313 SW 69TH AVE |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-9103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760656672 | Patricia Victoria Leonard | Social Worker | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2008-04-22 |
| 1740662188 | Kelsy Canaday | Counselor | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2015-06-22 |
| 1861890352 | Tawnya Martinez | Counselor | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2014-12-15 |
| 1144633033 | Sharlene O'neil | Counselor | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2014-06-09 |
| 1750719597 | Esther Wanjiku Makari | Counselor | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2013-10-14 |
| 1790118339 | Christopher Lee Stokes | Counselor | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2013-08-19 |
| 1366875023 | Shania D Price | Counselor | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2013-08-16 |
| 1114350337 | Kevin Austin Hanzlik | Counselor | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2013-08-12 |
| 1134568462 | Naqueita Anita Cox | Counselor | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2013-06-20 |
| 1659714939 | Sarah Ashley Christie | Counselor | 10313 Sw 69th Ave, Tigard, OR 97223-9103 | 2013-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356862619 | Joyful Imperfection Counseling, LLC | Psychologist | 7145 Sw Varns St Ste 103, Tigard, OR 97223-8170 | 2017-06-27 |
| 1699019802 | Chyril Walker Phd PC | Psychologist | 6950 Sw Hampton St, Ste 319, Tigard, OR 97223-8329 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457771354 | Ana Snegireff | Psychologist | 4722 Oak Park Dr Ne, Salem, OR 97305-2928 | 2014-04-18 |
| 1740616325 | Kathleen Gregorich Hoffman | Psychologist | 3245 Nw Thurman St, Portland, OR 97210-1224 | 2013-09-16 |
| 1558708461 | Anthony Michael Duncan | Psychologist | 2236 Se Belmont St, Portland, OR 97214-2817 | 2013-05-31 |
| 1811253461 | Britania Latronica | Psychologist | 10117 Se Sunnyside Rd # F1217, Clackamas, OR 97015-7708 | 2012-04-09 |
| 1285904094 | Susan J Mcpherson Phd PC | Psychologist | 975 Willagillespie Rd Ste 202, Eugene, OR 97401-2104 | 2012-01-10 |
| 1174813539 | Robert W Mclellarn, Phd | Psychologist | 5440 Sw Westgate Drive, Suite 175, Portland, OR 97221 | 2011-04-19 |
| 1346574449 | Jerusha Beth Detweiler-bedell | Psychologist | 5440 Sw Westgate Dr., #175, Portland, OR 97221-2436 | 2009-09-23 |
| 1386845048 | Morris Tiktin | Psychologist | 1201 Sw 12 Ave, Suite 300, Portland, OR 97205-2046 | 2007-05-30 |
| 1235341629 | Muriel D. Lezak | Psychologist | 2211 Sw 1st Ave, G10, Portland, OR 97201-5060 | 2007-05-05 |
| 1952528952 | Melisa L. Finch | Psychologist | 10201 Se Main St Ste 10, Portland, OR 97216-2937 | 2007-04-19 |
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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.