MS. LISA CAMILLE GIBSON


Address: 722 Ne 162nd Ave, Albertina Kerr Center Youth & Family Services, Portland, OR 97024
Phone: 5032554205

MS. LISA CAMILLE GIBSON (NPI# 1467625632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467625632
Entity Type Individual
Full Name MS. LISA CAMILLE GIBSON
Credential RN BSN
Practice Address 722 Ne 162nd Ave
Albertina Kerr Center Youth & Family Services
Portland
OR 97024
Practice Telephone 5032554205
Mailing Telephone 5032554205
Enumeration Date 2008-04-09
Last Update Date 2008-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
OR Nursing Service Providers

Other Providers LISA GIBSON

NPI Name Taxonomy Address Enumeration
1598318370 Lisa Jillian Gibson Assistant Behavior Analyst 1708 W Hazel St, Boise, ID 83702-1021 2019-07-20
1144696147 Lisa Gibson Counselor 11966 County Road I, Pampa, TX 79065-1704 2015-08-13
1033541420 Lisa Ann Gibson Dietitian, Registered 11 Quebrada, Irvine, CA 92620-1867 2013-08-07
1477868651 Lisa Ann Gibson Occupational Therapist 1200 Barr St, Fort Wayne, IN 46802-3502 2010-08-12
1225294796 Lisa Kay Gibson Family Medicine 201 Route 34 Bldg C-3, Colts Neck, NJ 07722-1902 2008-08-04
1881885788 Lisa Tara Gibson Counselor 230 W Wells St Ste 214, Milwaukee, WI 53203-1866 2007-08-06
1700400587 Lisa M Gibson Social Worker 2509 Research Blvd, Fort Collins, CO 80526-8108 2020-06-08
1538658695 Lisa Gibson Counselor 14 Pacella Park Dr, Randolph, MA 02368-1756 2018-05-04
1922455195 Lisa Renee Gibson Counselor 3809 Rosewood Dr, Columbia, SC 29205-3533 2016-05-18
1245565670 Lisa Michelle Gibson Physical Therapist 1510 Seabright Ave, Santa Cruz, CA 95062-2529 2009-10-02

Office Location

Street Address 722 NE 162ND AVE
ALBERTINA KERR CENTER YOUTH & FAMILY SERVICES
City PORTLAND
State OR
Zip Code 97024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235237983 Catherine N. Knox Counselor 722 Ne 162nd Ave, Portland, OR 97230-5760 2006-09-20
1548860463 Michele Renee Coon Counselor 722 Ne 162nd Ave, Portland, OR 97230-5760 2020-10-29
1710594551 Anna Christine Peaslee Social Worker 722 Ne 162nd Ave, Portland, OR 97230-5760 2020-09-25
1164040739 Samantha Bedker Social Worker 722 Ne 162nd Ave, Portland, OR 97230-5760 2020-07-10
1417572033 Veronica Shiu Knight Social Worker 722 Ne 162nd Ave, Portland, OR 97230-5760 2020-06-09
1215550850 Nathalie Wuebkes Technician 722 Ne 162nd Ave, Portland, OR 97230-5760 2020-05-18
1104446509 Erin Marie Mcdermott Behavior Technician 722 Ne 162nd Ave, Portland, OR 97230-5760 2020-04-26
1174150536 Jessica Schnur Marriage & Family Therapist 722 Ne 162nd Ave, Portland, OR 97230-5760 2020-03-25
1710529714 Dickovita Kankanamge Nirmani Tilakasena Counselor 722 Ne 162nd Ave, Portland, OR 97230-5760 2019-10-10
1568003978 Sarah Lehman Technician 722 Ne 162nd Ave, Portland, OR 97230-5760 2019-10-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255792560 Brent Labhart Counselor 17720 Ne Halsey, Fairview, OR 97024 2016-03-14
1720325954 Glen R Edgerton Internal Medicine 3797 Ne Fairview Lake Way, Fairview, OR 97024 2013-01-08
1073657003 Aoife O'sullivan Family Medicine Hyster-yale, 4000 Ne Blue Lake Road, Fairview, OR 97024 2007-02-15
1780240713 Christie Ellen Thompson Massage Therapist 1659 Ne Market Drive, Fairview, OR 97024 2019-05-15
1003325531 Daniel L Hubbell Chiropractor 1659 Ne Market Dr, Fairview, OR 97024 2017-09-27
1528338423 Denise Irene Houck Nurse Practitioner 1800 Ne Market Drive, Fairview, OR 97024 2012-01-09
1447624663 Western Psychological and Counseling Services PC Health Maintenance Organization 22070 Ne Chinook Way, Fairview, OR 97024-2647 2015-11-26
1891815957 Robert Craig Stassi I Chiropractor 1606 Ne 223rd Ave, Fairview, OR 97024-2662 2007-03-30
1811168925 Laurie Anne Mcadam Occupational Therapy Assistant 100 Bridge St, Fairview, OR 97024-2666 2008-03-17
1265052708 Jessica A Steinhebel Music Therapist 200 Cedar St, Fairview, OR 97024-3740 2020-04-24
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932747607 Kendall Clayton Karch Registered Nurse 30 Ne Mlk Jr Blvd, Portland, OR 97232-2941 2019-12-12
1275810665 Esther Gabrielle Rosengarten Registered Nurse 1020 Sw Taylor St Ste 745, Portland, OR 97205-2505 2011-11-14
1679890651 Caroline Jones Redstone Registered Nurse 106 Sw Woods St, Portland, OR 97201-4739 2010-04-29
1053643775 Diane Vines Registered Nurse 3880 Se 8th Ave, Suite 110, Portland, OR 97202-3772 2010-02-04
1013190081 Kristin Lois Cummings Registered Nurse 5329 Ne Martin Luther King Blvd, Portland, OR 97211-3237 2007-12-12
1184818080 Jacob Balinky Registered Nurse 3716 Ne Mlk Blvd, Portland, OR 97212-1111 2007-09-04
1467533778 Patricia J. Osborne Registered Nurse 916 Sw King Ave, Suite 206, Portland, OR 97205-1303 2006-10-17
1780646430 Marianne Decain Tarraza Registered Nurse 165 Lancaster St, Portland, ME 04101-2406 2006-04-06
1477162717 Lynda Long Registered Nurse 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 2020-07-22
1447877352 Shannon Barnicle Registered Nurse 62 Elm St, Portland, ME 04101-3091 2020-06-26
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Competitor

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City PORTLAND
Zip Code 97024

Improve Information

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Dataset Information

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.

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