GABBA, N.P., PSYCHIATRIC SERVICES (NPI# 1659857548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659857548 |
Entity Type | Organization |
Organization Name | GABBA, N.P., PSYCHIATRIC SERVICES |
Practice Address |
2500 Willamette Falls Dr Ste 203 West Linn OR 97068-4722 |
Mailing Address |
2815 Carriage Way West Linn OR 97068-2212 |
Practice Telephone | 5033020303 |
Practice Fax Number | 5036573957 |
Mailing Telephone | 5038282217 |
Enumeration Date | 2018-07-14 |
Last Update Date | 2019-10-30 |
Authorized Official Name | GUADALUPE CLEMENTINA GABBA (OWNER) |
Authorized Official Telephone | 5033020303 |
Authorized Official Credential | PMHNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | GABBA, N.P., PSYCHIATRIC SERVICES, LLC | 511 Sw 10th Ave Suite 904, Portland, OR 97205 |
Street Address |
2500 WILLAMETTE FALLS DR STE 203 |
City | WEST LINN |
State | OR |
Zip Code | 97068-4722 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063701126 | Guadalupe Clementina Gabba | Nurse Practitioner | 2500 Willamette Falls Dr Ste 203, West Linn, OR 97068-4722 | 2011-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023678224 | Bethany Joy Bivin | Registered Nurse | 2020 8th Ave Ste 230, West Linn, OR 97068 | 2019-06-19 |
1932612777 | Portland Dental Works, LLC | Dentist | 1750 Mckillican, West Linn, OR 97068 | 2017-11-15 |
1316460702 | Cameron Johnson Dc LLC | Chiropractor | 21400 Salamo Rd, West Linn, OR 97068 | 2017-07-18 |
1376913301 | Genesis Medical Concepts, LLC | Durable Medical Equipment & Medical Supplies | 2020 8th Ave Ste 222, West Linn, OR 97068 | 2015-10-02 |
1780052977 | Amanda Carole Tipton | Chiropractor | 21860 Willamette Drive, West Linn, OR 97068 | 2015-09-04 |
1457766859 | Eyedeology, Inc | Optometrist | 5656 Hood St. Ste 107, West Linn, OR 97068 | 2014-06-24 |
1740694660 | Ariana Bissinger | Nurse Practitioner | 1148 Rosemont Rd, West Linn, OR 97068 | 2014-06-18 |
1154606887 | Heather Marie Ellison | Massage Therapist | 22000 Willamette Dr., #107, West Linn, OR 97068 | 2011-10-13 |
1336432616 | Lisa Grage | Dental Hygienist | 3551 Coeur D'alene Dr., West Linn, OR 97068 | 2011-05-19 |
1316240583 | David Robert Gleave | Psychologist | 1800 Blankenship Rd Ste 200, West Linn, OR 97068 | 2010-12-10 |
Find all providers in zip 97068 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265039564 | Embodied Life Therapy Center LLC | Clinic/Center | 6906 N Richards St, Portland, OR 97203-6138 | 2020-10-08 |
1720685696 | Pragmatic Healing LLC | Clinic/Center | 3930 Sw Plum St Apt 1, Portland, OR 97219-6046 | 2020-10-05 |
1639793367 | Northwest Geriactrics | Clinic/Center | 10365 Se Sunnyside Rd Ste 340, Clackamas, OR 97015-5751 | 2020-05-28 |
1366065872 | Caring Hands Residential Services LLC | Clinic/Center | 16220 Se Mckinley Ave, Clackamas, OR 97015-9418 | 2020-05-19 |
1972139947 | Kevin Ryan PC | Clinic/Center | 119 E 2nd St Ste 210, The Dalles, OR 97058-1796 | 2020-03-21 |
1083240386 | Peace of Mind Functional Medicine | Clinic/Center | 151 Sw Shevlin Hixon Dr Ste 201, Bend, OR 97702-3233 | 2020-03-18 |
1467086215 | Deborah Ann Jewell | Clinic/Center | 5627 Ne Simpson St, Portland, OR 97218-2329 | 2020-03-01 |
1154802403 | Dr. Asha Stephen, LLC | Clinic/Center | 1234 Pearl St Ste 7, Eugene, OR 97401-3642 | 2018-08-24 |
1891272324 | Cressall Psychiatric LLC | Clinic/Center | 240 E 12th Ave, Eugene, OR 97401-3245 | 2018-07-26 |
1174023808 | Blake Locher Counseling, LLC | Clinic/Center | 1020 Sw Taylor St Ste 449, Portland, OR 97205-2556 | 2018-02-19 |
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.