EMILY ELISE GIBSON


Address: 1 Serenity Ln, Coburg, OR 97408-9350
Phone: 5416871110

EMILY ELISE GIBSON (NPI# 1710483722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710483722
Entity Type Individual
Full Name EMILY ELISE GIBSON
Credential CADC I
Practice Address 1 Serenity Ln
Coburg
OR 97408-9350
Mailing Address Po Box 8549
Coburg
OR 97408-1313
Practice Telephone 5416871110
Mailing Telephone 5416871110
Enumeration Date 2018-03-30
Last Update Date 2018-03-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
18-02-07 OR Behavioral Health & Social Service Providers

Other Providers EMILY GIBSON

NPI Name Taxonomy Address Enumeration
1568819738 Emily Paige Gibson Specialist/Technologist 901 Highland Ave, Orlando, FL 32803-3233 2016-05-18
1992770549 Emily Polis Gibson Family Medicine 2001 Bill Mcdonald Pkwy, Bellingham, WA 98225 2006-02-17
1801496492 Emily Gibson Pharmacist 1530 W Springfield Rd, Taylorville, IL 62568-2756 2020-11-01
1417571365 Emily Gibson Obstetrics & Gynecology 22255 Greenfield Rd Ste 352, Southfield, MI 48075-3712 2020-06-05
1114555737 Emily Lynn Gibson Student in an Organized Health Care Education/Training Program 2261 Philadelphia Dr Ste 301, Dayton, OH 45406-1814 2020-03-30
1730716218 Emily Gibson Behavior Technician 2928 Jefferson St Ste 100, Carlsbad, CA 92008-2374 2020-03-25
1366967630 Emily Gibson Nurse Practitioner 3927 Rucker Ave, Everett, WA 98201-4833 2017-08-08
1861928061 Emily Jane Gibson Family Medicine 7900 Lees Summit Rd, Kansas City, MO 64139-1246 2017-05-08
1902264344 Emily Christine Gibson Behavioral Analyst 5304 Grand Ave, Western Springs, IL 60558-1838 2016-01-31
1093181463 Emily Marion Gibson Physician Assistant 129 Oneida Valley Rd, Suite 111, Butler, PA 16001-2213 2015-08-19

Office Location

Street Address 1 SERENITY LN
City COBURG
State OR
Zip Code 97408-9350

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952696981 Wendi Lou Roberts Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2011-06-17
1497393748 Lorri Rai Roberts Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2019-12-17
1669027314 Pamela Ann Joyner Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2019-08-08
1194379701 Loraine Christina Lengyel Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2019-07-31
1164076162 Kristine Teresa Miller Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2019-07-29
1902378961 Kimberley Slater Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2018-12-31
1346747045 Samantha Galluzzo Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2018-04-09
1992200810 David Irving Wadsworth Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2018-03-25
1689123762 Roseanna Fern Boyer Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2016-09-29
1407216401 Stephanie Ann Jones Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2016-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619575008 Janna Marie Check Physician Assistant 3555 Chad Drive, Eugene, OR 97408 2020-10-16
1376181982 Quentin Rowan Counselor 91150 Industrial Way, Coburg, OR 97408 2019-12-13
1659918621 Nicholas Andrew Sparks Counselor 91150coburg Industrial Way, Coburg, OR 97408 2019-12-09
1629619267 Suzan Marie Farr Counselor 91150 Coburg Industrial Lane, Coburg, OR 97408 2019-10-04
1629538608 Shawn Michael Feddersen Hearing Instrument Specialist 1020 Green Acres Rd #8, Eugene, OR 97408 2019-03-25
1427513241 Margaret Elizabeth Desroches Registered Nurse Delta Oaks Community Health Center, 1022 Green Acres Rd., Eugene, OR 97408 2019-02-06
1295218527 Stephen Duane Sawyer Counselor 91150 N Coburg Industrial Way, Coburg, OR 97408 2018-09-12
1003339466 Carly M. Peterschmidt, Dmd, LLC Clinic/Center 622 E 22nd Avenue, Suite A, Eugene, OR 97408 2017-07-18
1821549536 Eugene Urgent Care Clinic/Center 1800 Coburg Rd., Eugene, OR 97408 2016-10-18
1851752232 Nicole Marie Westbrook Chiropractor 90971 S Willamette St, Coburg, OR 97408 2016-03-14
Find all providers in zip 97408

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376181982 Quentin Rowan Counselor 91150 Industrial Way, Coburg, OR 97408 2019-12-13
1659918621 Nicholas Andrew Sparks Counselor 91150coburg Industrial Way, Coburg, OR 97408 2019-12-09
1295218527 Stephen Duane Sawyer Counselor 91150 N Coburg Industrial Way, Coburg, OR 97408 2018-09-12
1902266125 Layne R. Frambes Counselor 91320 N Industrial Way, Coburg, OR 97408-9492 2016-03-01
1952696981 Wendi Lou Roberts Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2011-06-17
1609416460 Kelsey Leigh Zimmerman Counselor 91150 Coburg Industrial Way, Coburg, OR 97408 2020-01-09
1497393748 Lorri Rai Roberts Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2019-12-17
1639716525 Brandy Lynn Blackwell Counselor 91150 N Coburg Industrial Way, Coburg, OR 97408-1313 2019-12-10
1851938880 Scott Laurence Carpenter Counselor 91150 Coburg Industrial Way, Coburg, OR 97408 2019-12-10
1669027314 Pamela Ann Joyner Counselor 1 Serenity Ln, Coburg, OR 97408-9350 2019-08-08
Find all providers in COBURG

Competitor

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City COBURG
Zip Code 97408

Improve Information

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Dataset Information

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.

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