DYLAN GUSTAFSON (NPI# 1982171690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982171690 |
| Entity Type | Individual |
| Full Name | DYLAN GUSTAFSON |
| Practice Address |
22518 S Parrott Creek Rd. Oregon City OR 97045-9704 |
| Mailing Address |
22518 S Parrott Creek Rd. Oregon City OR 97045 |
| Practice Telephone | 5032663050 |
| Mailing Telephone | 5032663050 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
22518 S PARROTT CREEK RD. |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-9704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740647536 | Amanda Alvarado | Case Manager/Care Coordinator | 110 Beavercreek Rd Ste 110, Oregon City, OR 97045-4307 | 2016-01-25 |
| 1023616927 | Saskia Vanderploeg | Case Manager/Care Coordinator | 1002 Library Ct, Oregon City, OR 97045-4066 | 2020-10-13 |
| 1205443124 | Margaret Rost | Case Manager/Care Coordinator | 998 Library Ct, Oregon City, OR 97045-4041 | 2020-09-24 |
| 1487261426 | Christina Maples | Case Manager/Care Coordinator | 998 Library Ct, Oregon City, OR 97045-4041 | 2020-09-24 |
| 1306469002 | Victor Manuel Garcia Del Castillo | Case Manager/Care Coordinator | 998 Library Ct, Oregon City, OR 97045-4041 | 2020-05-28 |
| 1700408879 | Italia M Hensley | Case Manager/Care Coordinator | 18980 Leland Rd, Oregon City, OR 97045-8511 | 2020-05-12 |
| 1821610809 | Ashley N Bohr | Case Manager/Care Coordinator | 304 Pearl St, Oregon City, OR 97045-2684 | 2020-05-12 |
| 1942829619 | Amanda K Hulbert | Case Manager/Care Coordinator | 18980 Leland Rd, Oregon City, OR 97045-8511 | 2020-04-13 |
| 1366087439 | Michelle Foley | Case Manager/Care Coordinator | 1002 Library Ct, Oregon City, OR 97045-4066 | 2019-11-13 |
| 1881240968 | Jillina Marie Self | Case Manager/Care Coordinator | 998 Library Ct, Oregon City, OR 97045-4041 | 2019-08-14 |
| Find all providers in OREGON CITY | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
Please comment or provide details below to improve the information on DYLAN GUSTAFSON.
| 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.