MS. LISA CAMILLE GIBSON RN BSN NPI 1467625632

NPI Information

NPI: 1467625632
Provider Name: MS. LISA CAMILLE GIBSON, RN BSN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
722 NE 162ND AVE
ALBERTINA KERR CENTER YOUTH & FAMILY SERVICES
PORTLAND, OR
ZIP 97024
Phone: (503) 255-4205
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MS. Lisa Camille Gibson, RN BSN is a psychiatric/mental health registered nurse in Portland, OR. MS. Lisa Camille Gibson, RN BSN NPI is 1467625632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

722 NE 162ND AVE
ALBERTINA KERR CENTER YOUTH & FAMILY SERVICES
PORTLAND, OR
ZIP 97024
Phone: (503) 255-4205

The enumeration date for this NPI number is 4/9/2008 and was last updated on 4/9/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health		OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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