GINA L STALLARD (NPI# 1740425123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740425123 |
| Entity Type | Individual |
| Full Name | GINA L STALLARD |
| Credential | LMT |
| Practice Address |
1025 Heather Ct Reedsport OR 97467-1919 |
| Practice Telephone | 5413610121 |
| Mailing Telephone | 5413610121 |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 5871 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSE | 5871 | 01 |
| Street Address |
1025 HEATHER CT |
| City | REEDSPORT |
| State | OR |
| Zip Code | 97467-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962624262 | Umpqua Drug Co. Inc | Pharmacist | 1941 Winchester Ave, Reedsport, OR 97467 | 2007-05-03 |
| 1548354103 | Douglas County School District (reedsport) 105 | Local Education Agency (LEA) | 100 Ranch Raod, Reedsport, OR 97467 | 2006-10-03 |
| 1447282504 | Robert D Law | Family Medicine | 620 Ranch Road, Reedsport, OR 97467 | 2006-07-07 |
| 1942256730 | Elaine Marian Hooper | Registered Nurse | 385 Ranch Road, Reedsport, OR 97467 | 2006-05-25 |
| 1063460095 | Lower Umpqua Hospital District | Medicare Defined Swing Bed Unit | 600 Ranch Road, Reedsport, OR 97467 | 2006-05-04 |
| 1588717516 | Kenneth Lee Lawson | Surgery | 385 Ranch Road, Reedsport, OR 97467 | 2007-01-21 |
| 1063437184 | Blake Rice | Pharmacist | 142 Main Street, Riddle, OR 97467 | 2006-07-12 |
| 1619900370 | Lower Umpqua Hospital District | Family Medicine | 620 Ranch Rd, Reedsport, OR 97467 | 2006-07-08 |
| 1730111840 | Ronald E Vail | Family Medicine | 620 Ranch Rd, Reedsport, OR 97467 | 2006-07-07 |
| 1265464325 | Dale E Harris | Family Medicine | 620 Ranch Road, Reedsport, OR 97467 | 2006-07-07 |
| Find all providers in zip 97467 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536560 | Irina A Mcgaughey | Specialist | 610 Sw Alder St Ste 920, Portland, OR 97205-3610 | 2020-10-19 |
| 1780294181 | Cynthia R Mendoza | Specialist | 2245 Se Powell Blvd, Portland, OR 97202-2143 | 2020-07-31 |
| 1679199335 | Alter Image, Inc. | Specialist | 2340 Se Gladstone St, Portland, OR 97202-2962 | 2020-06-18 |
| 1922629328 | Yahsolait Rose | Specialist | 3575 Donald St Ste 170, Eugene, OR 97405-4783 | 2020-04-27 |
| 1225658560 | Leslie Ryan | Specialist | 377 Laclair St, Coos Bay, OR 97420-4709 | 2020-04-16 |
| 1780225474 | Katie Jane Clark | Specialist | 44 Industrial Way Ste D, Lebanon, OR 97355-4364 | 2019-10-03 |
| 1639727795 | Christina Bellmore | Specialist | 1748 Nw Fairview Dr # A, Gresham, OR 97030-3842 | 2019-08-30 |
| 1740841436 | Lacey Nicole Keeney | Specialist | 1623 Oak St, Eugene, OR 97401-4022 | 2019-06-24 |
| 1700347804 | Audrey Jones | Specialist | 16055 Boones Ferry Rd, Lake Oswego, OR 97035-4364 | 2019-03-29 |
| 1770044281 | Donnissa Smith | Specialist | 117 Se 129th Ave, Portland, OR 97233-1503 | 2019-03-27 |
| 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.