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Contact Information

LISA C GIBSON, RN BSN
722 NE 162ND AVE
ALBERTINA KERR CENTER YOUTH & FAMILY SERVICES
PORTLAND, OR97024
 Phone: 503-255-4205
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for LISA C GIBSON · (Female)

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
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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