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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
OR | Nursing Service Providers |
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 |
Street Address |
722 NE 162ND AVE ALBERTINA KERR CENTER YOUTH & FAMILY SERVICES |
City | PORTLAND |
State | OR |
Zip Code | 97024 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 97024 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
Find all providers in PORTLAND |
Please comment or provide details below to improve the information on MS. LISA CAMILLE GIBSON.
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.