Camille Gifford, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

1003226 Issued in OR

Practice address

5998 Frost LN
Lake Oswego, OR 97035-4587

Phone

(971) 270-0621

NPI assigned

May 25, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Camille Fietkau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369440000000",
    "number": "1144667502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5998 FROST LN",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5998 FROST LN",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354587",
            "telephone_number": "971-270-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "CAMILLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-25",
        "last_updated": "2013-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "OR",
            "license": "1003226",
            "primary": true
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "OR",
            "license": "1003226",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OR",
            "license": "1003226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "FIETKAU",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christina Marie Gibson, LMT
• Joshua Gibson
• Rosemary Gibson, LMT
• Samantha Noel Gieber
• Sterling S Gierczak, DPT
• Craig Thomas Gillis, D.O.
• Reginald Vanness Gilmore II
• Michele A Gilson, LCSW, BCD
• Riley Gintz
• Brocha Etty Glancz, OTR/L, CHT

• Gerontology Occupational Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Gerontology Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.