AMY GIBSON (NPI# 1285187070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285187070 |
| Entity Type | Individual |
| Full Name | AMY GIBSON |
| Practice Address |
018 Sw Boundary Ct Portland OR 97239-3939 |
| Practice Telephone | 5035422762 |
| Practice Fax Number | 5032087160 |
| Mailing Telephone | 5035422762 |
| Mailing Fax Number | 5032087160 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500665027 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619474046 | Amy Gibson | Registered Nurse | 3841 Helen St, Harrison, MI 48625-9108 | 2018-04-11 |
| 1962870717 | Amy Gibson | Nurse Practitioner | 618 18th St S # 10360, Birmingham, AL 35233-1827 | 2015-09-10 |
| 1508995184 | Amy Nixon Gibson | Case Manager/Care Coordinator | 295 Lafayette Pkwy, Lexington, KY 40503-1242 | 2007-03-02 |
| 1689221723 | Amy L. Gibson | Registered Nurse | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2019-08-22 |
| 1780117614 | Amy Gibson | Behavior Technician | 2101 Arc Dr, Saint Augustine, FL 32084-0512 | 2017-04-07 |
| 1962854406 | Amy Elizabeth Gibson | Nurse Practitioner | 257 Biltmore Ave, Asheville, NC 28801-4120 | 2016-07-08 |
| 1588014625 | Amy Gibson | Occupational Therapist | 12311 Ashley Dr Ste A, Gulfport, MS 39503-2950 | 2016-06-20 |
| 1518354406 | Amy Lovell Gibson | Pharmacist | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2015-04-19 |
| 1356759393 | Amy Gibson | Student in an Organized Health Care Education/Training Program | 7050 S 24th St, Phoenix, AZ 85042-5806 | 2014-07-22 |
| 1003002858 | Amy R. Gibson | Nurse Practitioner | 1314 Park Ave, Plainfield, NJ 07060-3253 | 2007-09-14 |
| Street Address |
018 SW BOUNDARY CT |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-3939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295881100 | The Boys & Girls Aid Society of Oregon | Public Health or Welfare | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2007-01-25 |
| 1952893810 | Heather Fystrom | Counselor | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2018-06-05 |
| 1184113649 | Audrey Jan Love | Counselor | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2018-05-09 |
| 1891284337 | Charley Amber Liljequist | Counselor | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2018-05-09 |
| 1356830806 | Christine Hang-bok Weer | Counselor | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2018-05-09 |
| 1629575808 | Curtis W Maxey | Counselor | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2018-04-12 |
| 1912404575 | Kelerie Heiser | Counselor | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2018-04-10 |
| 1669978904 | Carolyn Marie Reed | Social Worker | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2018-04-04 |
| 1497251730 | Mitchel James Dault | Social Worker | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2018-04-04 |
| 1003311283 | Jordan Richard Lovell | Social Worker | 018 Sw Boundary Ct, Portland, OR 97239-3939 | 2018-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980389 | Shayla Lee Adkins | Social Worker | 5530 Se 72nd Ave, Portland, OR 97206-5207 | 2020-10-24 |
| 1386242154 | Michael Harris | Social Worker | 87 Glenwood Ave, Portland, ME 04103-3128 | 2020-10-14 |
| 1245844141 | Dane Hilts | Social Worker | 5524 Se Hawthorne Blvd, Portland, OR 97215-3368 | 2020-09-08 |
| 1073131462 | Corinne J Allen | Social Worker | 14678 Nw Cornell Rd Apt 52, Portland, OR 97229-7407 | 2020-07-11 |
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1376168906 | Connor Brown | Social Worker | 738 Ne Davis St, Portland, OR 97232-2931 | 2020-06-09 |
| 1770110041 | Oriana Korol | Social Worker | 811 Ne 92nd Ave, Portland, OR 97220-4513 | 2020-03-25 |
| 1366080988 | Matthew Emerson Schultz | Social Worker | 314 Sw 9th Ave, Portland, OR 97205-2802 | 2019-12-13 |
| 1831749985 | Rachel Petke | Social Worker | 2800 N Vancouver Ave Ste 207, Portland, OR 97227-1630 | 2019-09-19 |
| 1639722390 | Jenna Su Morgan Wing | Social Worker | 905 Sw Cedar Hills Blvd Apt 1312, Portland, OR 97225-5772 | 2019-07-22 |
| Find all providers in PORTLAND | ||||
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| 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.