Gibson, Lisa Camille

Gibson, Lisa Camille is an individual health care provider with primary practice located at 722 Ne 162Nd Ave Albertina Kerr Center Youth & Family Services, Portland OR 97024. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gibson, Lisa Camille can be contacted via phone (503) 255-4205.

Contact Information

Primary practice address
722 Ne 162Nd Ave Albertina Kerr Center Youth & Family Services Portland OR 97024
Phone: (503) 255-4205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X Oregon

Profile Details

NPI number 1467625632
LBN Legal business name Gibson, Lisa Camille
Credentials RN BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Apr 9th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers