SANDRA GILLGAM (NPI# 1922139054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922139054 |
Entity Type | Individual |
Full Name | SANDRA GILLGAM |
Practice Address |
11703 Ne Glisan St Portland OR 97220-2141 |
Practice Telephone | 5032537839 |
Mailing Telephone | 5032537839 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
Street Address |
11703 NE GLISAN ST |
City | PORTLAND |
State | OR |
Zip Code | 97220-2141 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
Find all providers in zip 97220 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619530524 | Christopher Morgan Wheaton | Technician/Technologist | 93 Washington Ave Unit 2, Portland, ME 04101-2618 | 2019-04-16 |
1609108968 | Kathy Haywood | Technician/Technologist | 1017 Northcliff Dr, Portland, TX 78374-1918 | 2010-02-10 |
1508006040 | America's Best Contacts & Eyeglasses | Technician/Technologist | 539 Sw 3rd Ave, Portland, OR 97204-2501 | 2009-02-24 |
1669621207 | Reynolds Optical | Technician/Technologist | 800 Sw Alder, Portland, OR 97205-3107 | 2008-09-18 |
1235306911 | Amy Roseanne Skucas | Technician/Technologist | 500 Multnomah St, Suite 100, Portland, OR 97232 | 2008-05-13 |
1497926463 | Hallmark Opticians | Technician/Technologist | 1911ne Broadway, Portland, OR 97232-1501 | 2008-03-18 |
1053455782 | Keeoli Corp Dba Vipeyes | Technician/Technologist | 1041 Brighton Ave, Portland, ME 04102-1042 | 2007-02-16 |
1245385160 | Charles Marshall | Technician/Technologist | 1911 Ne Broadway St, Portland, OR 97232-1501 | 2007-01-23 |
1205984630 | Weller Inc | Technician/Technologist | 2933 E Burnside St, Portland, OR 97214-1831 | 2007-01-08 |
1710048335 | Derek James Buchanan | Technician/Technologist | 925 Sw Taylor St, Portland, OR 97205-2503 | 2006-12-13 |
Find all providers in PORTLAND |
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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.