Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB RYAN GIBSON
ActiveJACOB RYAN GIBSON is a Substance Abuse Psychiatric Nurse healthcare provider located in PORTLAND, Oregon. NPI 1477411239 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Psychiatric Nurse · PORTLAND, OR
Registration Details
- NPI Number
- 1477411239
- Provider Type
- Individual
- Gender
- Unknown
- NPI Issued
- Jan 12, 2026 (0.61434121171775 yrs)
- Last Updated
- Jan 13, 2026
- License
-
10051976 (OR)
Practice Information
- Address
-
17720 NE HALSEY ST STE APORTLAND, OR, 972306771Browse OR providers · Browse ZIP 97230
- Phone
- 5036547654
- Fax
- 5036547333
- Primary Specialty
-
Substance Abuse Psychiatric Nurse
163WP0809X
Other Substance Abuse Psychiatric Nurse Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| LYNDA BURNETTE GROGAN | PMHNP | 1669481396 |
| MS. LINDA J GILLINS | PMHNP | 1942318407 |
| MS. KATHERINE D. ELLIOTT | NURSE PRACTITIONER | 1225146442 |
| MS. JUNE AUGUSTINA | R.N. | 1083723712 |
| MRS. SHARON LYNN MCALLISTER | PMHNP | 1174624126 |
| MR. GLEN ALAN KENOSKI | ARNP | 1104927029 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.