MR. REGINALD VANNESS GILMORE II (NPI# 1679129217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679129217 |
| Entity Type | Individual |
| Full Name | MR. REGINALD VANNESS GILMORE II |
| Practice Address |
2507 Christie Dr Lake Oswego OR 97034 |
| Mailing Address |
Po Box 368 Marylhurst OR 97036-0368 |
| Practice Telephone | 5036353416 |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2507 CHRISTIE DR |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915274 | Jordan Taylor Byrd | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2020-09-03 |
| 1487279923 | Jonathan Dominguez | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2020-06-10 |
| 1477193902 | Emily Kelly | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2020-01-13 |
| 1699312678 | Julia Renee-dobler Brodie | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2019-12-09 |
| 1265074249 | Adonna Rogers | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2019-10-11 |
| 1760038301 | Tiamoya Johnson | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2019-08-09 |
| 1851950331 | Isaiah Jackson | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2019-06-10 |
| 1255802914 | Amber Ziring | Counselor | 2507 Christie Dr, Lake Oswego, OR 97043 | 2018-12-06 |
| 1780164210 | Kylee Weron | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2018-08-15 |
| 1356837447 | Chardinal Bain | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2018-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377309 | Robin Donart | Case Manager/Care Coordinator | 2595 Christie Drive, Lake Oswego, OR 97034 | 2019-07-09 |
| 1740844539 | New Avenues for Youth | Clinic/Center | 2595 Christie Dr., Lake Oswego, OR 97034 | 2019-04-26 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1861841504 | Soaring Crane Acuouncture LLC | Acupuncturist | 630 B Ave. #3, Lake Oswego, OR 97034 | 2016-06-03 |
| 1679945216 | Guru Sandesh Singh Khalsa | Naturopath | 630 B Avenue, Suite 3, Lake Oswego, OR 97034 | 2015-10-22 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1275873309 | Sara Elizabeth Forrest | Social Worker | 2507 Christie Dr., Lake Oswego, OR 97034 | 2013-02-27 |
| 1982964631 | Catherine L Morris Daraee | Social Worker | 4040 Douglas Way, Lake Oswego, OR 97034 | 2012-05-29 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1306099460 | Corinne Jarvis | Speech-Language Pathologist | 325 3rd Street, Lake Oswego, OR 97034 | 2008-11-02 |
| Find all providers in zip 97034 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978819 | Holly D Altson | Counselor | 4925 Parkview Dr Apt B, Lake Oswego, OR 97035-2441 | 2020-07-01 |
| 1033748306 | Svetlana V Poroshina | Counselor | 5225 Jean Rd Apt 505, Lake Oswego, OR 97035-7155 | 2020-04-07 |
| 1730712688 | Nicole Kammerlocher | Counselor | 14523 Westlake Dr Ste 17, Lake Oswego, OR 97035-7700 | 2020-02-19 |
| 1679054423 | Holly Shumway Counseling | Counselor | 15100 Boones Ferry Rd Ste 850, Lake Oswego, OR 97035-3467 | 2018-08-28 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1396245858 | Apricity Counseling & Consultation, LLC | Counselor | 630 B Ave Ste 9, Lake Oswego, OR 97034-2958 | 2018-02-20 |
| 1851824890 | Amber Johnson Babar | Counselor | Centria Healthcare C/o Teirnie Hemelstrand, 5 Centerpoint Drive, Suite 400, Lake Oswego, OR 97035-8601 | 2017-04-06 |
| 1386098911 | Janice Johnson | Counselor | 40 Mcnary Pkwy, Lake Oswego, OR 97035-1214 | 2016-04-20 |
| 1174993117 | Cara Hart | Counselor | 5005 Meadows Rd Ste 405, Lake Oswego, OR 97035-4291 | 2015-10-02 |
| 1790109064 | Kathryn Sporing | Counselor | 14523 Westlake Dr # 19, Lake Oswego, OR 97035-7700 | 2014-02-07 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
Please comment or provide details below to improve the information on MR. REGINALD VANNESS GILMORE II.
| 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.