DR. ANDREANA MARIE-CONCETTA GENTILE (NPI# 1134428378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134428378 |
Entity Type | Individual |
Full Name | DR. ANDREANA MARIE-CONCETTA GENTILE |
Credential | DNP, FNP-C |
Practice Address |
17070 Se Mcloughlin Blvd Milwaukie OR 97267-4960 |
Mailing Address |
6420 Sw Macadam Ave Ste 300 Portland OR 97239-3519 |
Practice Telephone | 5033056282 |
Practice Fax Number | 5039080208 |
Mailing Telephone | 5039413033 |
Enumeration Date | 2011-03-26 |
Last Update Date | 2015-09-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
201391241NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500661333 | 05 |
Street Address |
17070 SE MCLOUGHLIN BLVD |
City | MILWAUKIE |
State | OR |
Zip Code | 97267-4960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376599910 | Randall Fryer | Family Medicine | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2006-05-25 |
1477151447 | Beth Lindsay Julen | Registered Nurse | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2020-10-13 |
1184241721 | Cascadia Behavioral Healthcare Inc | Nurse Practitioner | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2020-06-30 |
1568980258 | Colin Tardif | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2017-09-01 |
1962953471 | Brian Long | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-2115 | 2016-10-19 |
1962959544 | Braydon Robbins | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2016-09-01 |
1932556230 | Everett Mccown | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2016-05-17 |
1770960437 | Caleb Fisher | Social Worker | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2015-05-01 |
1003206525 | Lindsay Young | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2015-02-04 |
1932513884 | Andrew Wiencken | Counselor | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2014-06-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851911036 | Michelle Renee Gilham | Massage Therapist | 16560 S.e. 80th Ave, Portland Or 97267, 19650 Se 80th Ave, Portland, OR 97267 | 2020-04-17 |
1629557442 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 14874 Se Webster Rd, Milwaukie, OR 97267 | 2018-08-13 |
1326541764 | Theresa Elaine Day | Massage Therapist | 2080 Se Oak Grove Blvd Ste 16, Portland, OR 97267 | 2018-03-12 |
1881015378 | Kathryn Louise Engstrom | Registered Nurse | 6901 Se Lake Road, Portland, OR 97267 | 2013-12-30 |
1285951293 | Eliza Ann Rowley | Acupuncturist | 2080 Se Oak Grove Blvd #9, Milwaukie, OR 97267 | 2010-04-29 |
1346438124 | Rx Direct Inc | Pharmacy | 16246 Se Mcloughlin, Milwaukie, OR 97267 | 2007-10-05 |
1477740827 | Olson Drug, Inc | Durable Medical Equipment & Medical Supplies | 16244 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2007-10-01 |
1831308451 | Jeannie Marie Baer | Massage Therapist | 16705 Se Mcloughlin, Milwaukie, OR 97267 | 2007-05-21 |
1902923667 | Matthew William Krueger | Specialist/Technologist | 4950 Se Roethe Rd., Milwaukie, OR 97267 | 2007-03-26 |
1316084049 | Renee' Lorena Raschke | Counselor | 17070se Mcloughlin Blvd., Milwaukie, OR 97267 | 2007-01-31 |
Find all providers in zip 97267 |
Taxonomy Code | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063433365 | Thomas S Stewart | Nurse Practitioner | 124 Ne 181st Ave, Suite 103, Portland, OR 97230-6668 | 2006-07-21 |
1033190830 | Esther Eugenia Brown | Nurse Practitioner | 1165 Union St Ne, Salem, OR 97301-4693 | 2005-11-08 |
1427665017 | Katlin Mostue-nesbit | Nurse Practitioner | 19 Myrtle St, Medford, OR 97504-7337 | 2020-09-28 |
1043386717 | Elizabeth L Pethtel | Nurse Practitioner | 3170 State St, Medford, OR 97504-8450 | 2006-11-27 |
1457367690 | Kay Diane Peterson | Nurse Practitioner | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2006-07-31 |
1124065040 | Nancy Jane Reid | Nurse Practitioner | 36 Sw Nye St, Newport, OR 97365-3821 | 2006-05-31 |
1851372643 | Mark Corey | Nurse Practitioner | 110 Main St, Moro, OR 97039-3080 | 2005-11-08 |
Please comment or provide details below to improve the information on DR. ANDREANA MARIE-CONCETTA GENTILE.
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.