MS. CAROLE GAGLIONE (NPI# 1245247907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245247907 |
| Entity Type | Individual |
| Full Name | MS. CAROLE GAGLIONE |
| Credential | NP |
| Practice Address |
12710 Se Division St Mid County Health Clinic Portland OR 97236 |
| Mailing Address |
421 Sw Oak St #210 Portland OR 97204 |
| Practice Telephone | 5039883601 |
| Practice Fax Number | 5039884452 |
| Mailing Telephone | 5039883663 |
| Mailing Fax Number | 5039884098 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2010-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
086006540N2NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12710 SE DIVISION ST MID COUNTY HEALTH CLINIC |
| City | PORTLAND |
| State | OR |
| Zip Code | 97236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447298260 | Mary E Meadows | Family Medicine | 12710 Se Division St, Portland, OR 97236-3134 | 2006-06-03 |
| 1588281240 | Janet Trang Do | Pharmacist | 12710 Se Division St, Portland, OR 97236-3134 | 2020-06-29 |
| 1033759212 | Derrick Michael Jones | Physician Assistant | 12710 Se Division St, Portland, OR 97236-3134 | 2020-01-15 |
| 1447893383 | Krista Kaufman | Nurse Practitioner | 12710 Se Division St, Portland, OR 97236-3134 | 2019-10-23 |
| 1174170682 | Amy Samantha Peck | Nurse Practitioner | 12710 Se Division St, Portland, OR 97236-3134 | 2019-08-20 |
| 1841776598 | Stephen Lawrence Erwin | Dentist | 12710 Se Division St, Portland, OR 97236-3134 | 2018-07-16 |
| 1083115612 | Multnomah County | Clinic/Center | 12710 Se Division St, Portland, OR 97236-3134 | 2018-02-28 |
| 1306394549 | Multnomah County Health Department | Clinic/Center | 12710 Se Division St, Portland, OR 97236-3134 | 2016-09-16 |
| 1952859555 | Neema Mohammad Nader | Nurse Practitioner | 12710 Se Division St, Portland, OR 97236-3134 | 2016-09-13 |
| 1447707625 | Margot Presley | Nurse Practitioner | 12710 Se Division St, Portland, OR 97236-3134 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336650357 | Wondmimu Edao Chako | Registered Nurse | 3708 Se 144th Avenue, Portland, OR 97236 | 2017-10-17 |
| 1881142388 | John Ho | Pharmacist | 14700 Se Division St., Portland, OR 97236 | 2016-09-14 |
| 1306392527 | Lori-ann Lima | Nurse Practitioner | Multnomah County Health Department- Mid Cty Health Ctr, 12710 Se Division St, Portland, OR 97236 | 2016-08-28 |
| 1982096202 | Allan Fitzpatrick Beals-gibson | Adult Companion | 15602 Se Division St., Portland, OR 97236 | 2015-02-24 |
| 1386047132 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 3530 Se 136th Ave. #5, Portland, OR 97236 | 2014-10-07 |
| 1356750319 | Kendra Harding | Counselor | 17214 Se Division Street, Portland, OR 97236 | 2014-08-04 |
| 1659790400 | Nghia Tran | Pharmacist | 8438 Se 138th Dr, Portland, OR 97236 | 2014-04-09 |
| 1942623764 | Laurel Katherine Hallock Koppelman | Nurse Practitioner | 12720 Se Division Street, Portland, OR 97236 | 2014-01-30 |
| 1982046249 | Victoria D Lathrop | Massage Therapist | 17221 Se Divistion St S-21, Portland, OR 97236 | 2013-07-26 |
| 1669819694 | Ariann Von Vaughn | Dental Hygienist | 18011 Se Pershing Ct, Portland, OR 97236 | 2013-05-31 |
| Find all providers in zip 97236 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197705 | Kelsey-jo Audrey Moss | Nurse Practitioner | 704b Ne 62nd Ave, Portland, OR 97213-4351 | 2019-10-30 |
| 1063054716 | Lori P Balchik | Nurse Practitioner | 277 Buddy Ganem Dr Ste A, Portland, TX 78374-3202 | 2019-10-15 |
| 1295273399 | Shaudine Woody | Nurse Practitioner | 11790 Sw Barnes Rd Ste 140, Portland, OR 97225-5938 | 2017-02-08 |
| 1003239120 | Iva Juric | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239-3011 | 2014-01-24 |
| 1811249592 | Pollee Hruby Brookings | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw7, Portland, OR 97239-3098 | 2012-10-05 |
| 1033470646 | Chelsea Doherty | Nurse Practitioner | 14480 Sw 90th Ave, Portland, OR 97224 | 2012-05-31 |
| 1265699508 | Mallory Johnson | Nurse Practitioner | 11790 Sw Barnes Rd. Blg A, Ste 140, Portland, OR 97225 | 2008-05-22 |
| 1053320804 | Karen Elizabeth Caines | Nurse Practitioner | 96 Falmouth St, Portland, ME 04104-9300 | 2006-08-07 |
| 1649209982 | Joanne M Perry | Nurse Practitioner | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2006-06-30 |
| 1497377220 | Erika Lynn Rodakowski | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-05-14 |
| 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.