DR. NATHANIEL WILLIAM GUMP (NPI# 1265714133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265714133 |
| Entity Type | Individual |
| Full Name | DR. NATHANIEL WILLIAM GUMP |
| Credential | PH.D. |
| Practice Address |
408 Sw Monroe Ave Ste M236 Corvallis OR 97333-7210 |
| Practice Telephone | 5412500143 |
| Mailing Telephone | 5412500143 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
2967 | OR | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
2738-57 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| W6144 Aerotech Dr, Appleton, WI 549147503 | 9207332065 | |
| 887 Nw Grant Ave, Corvallis, OR 973304539 | 5417145620 |
| Street Address |
408 SW MONROE AVE STE M236 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013573286 | Erin Fuller Crozier | Psychologist | 408 Sw Monroe Ave Ste M252, Corvallis, OR 97333-7210 | 2019-05-14 |
| 1225506702 | Michele Ribeiro | Psychologist | 511 Nw 11th St, Corvallis, OR 97330-6010 | 2018-11-02 |
| 1861437758 | Carol Ann Jauquet | Psychologist | 891 Nw Grant Ave, Corvallis, OR 97330-4539 | 2006-06-17 |
| 1558346411 | Erika Patterson | Psychologist | 873 Nw Grant Ave Ste A, Corvallis, OR 97330 | 2005-12-13 |
| 1598365090 | Erin Crozier Phd LLC | Psychologist | 408 Sw Monroe Ave Ste M252, Corvallis, OR 97333-7210 | 2020-10-26 |
| 1013011030 | Paige Kimberly Warner | Psychologist | 744 Nw 4th St, Corvallis, OR 97330-6415 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722345 | Izmirian Counseling, PC | Psychologist | 1450 Se Holgate Blvd, Portland, OR 97202-4717 | 2020-05-19 |
| 1538728472 | Little Star Psychological Services, LLC | Psychologist | 1127 Lincoln St, Eugene, OR 97401-3695 | 2019-06-12 |
| 1669959078 | Pamela Michelle Taite | Psychologist | 1785 Ne Sandy Blvd Ste 270, Portland, OR 97232-2791 | 2018-07-27 |
| 1861850737 | Traci Rieckmann | Psychologist | 2925 Ne 53rd Ave, Portland, OR 97213-2437 | 2016-02-05 |
| 1710370101 | Asha Stephen | Psychologist | 1590 E.13th Ave, Eugene, OR 97403 | 2015-03-10 |
| 1801289343 | Alisia Caban | Psychologist | 1590 E 13th Ave., University Counseling & Testing Center, Eugene, OR 97403-1280 | 2015-03-09 |
| 1336532860 | Heather Brooks Morse | Psychologist | 2228 West 25th Place, Eugene, OR 97405 | 2015-03-09 |
| 1073905758 | Brent Horner | Psychologist | 132 E Broadway Ste 301, Eugene, OR 97401-3154 | 2015-03-04 |
| 1558753392 | Elisabeth Musch | Psychologist | 1280 University of Oregon, Eugene, OR 97403-1205 | 2015-03-03 |
| 1487083754 | Sandy Newsome | Psychologist | 3083 Eden Ct, Medford, OR 97504-8364 | 2013-11-06 |
| Find all providers with the same taxonomy | ||||
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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.