NPI Profile for LISA C GIBSON in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Psychiatric/Mental Health |
163WP0808X |
| NPI # | 1467625632 |
|
| Status | Active | |
| Credentials | RN BSN | |
| Entity | Individual | |
| Enumeration date | 04/09/2008 | |
| Last updated | 04/09/2008 - About 18 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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LISA C GIBSON
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