MS. GAIL SUSAN GUSTAFSON (NPI# 1356598841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356598841 |
| Entity Type | Individual |
| Full Name | MS. GAIL SUSAN GUSTAFSON |
| Credential | LMT |
| Practice Address |
119 Ne 3rd St Gresham OR 97030-7403 |
| Mailing Address |
Po Box 2114 Gresham OR 97030-0604 |
| Practice Telephone | 5033135369 |
| Mailing Telephone | 5033135369 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 7795 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366572554 | Gail Elizabeth Gustafson | Social Worker | 150 Davie St, Pittsboro, NC 27312-8833 | 2007-03-06 |
| 1447767306 | Gail Gustafson | Registered Nurse | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2018-01-02 |
| 1609929736 | Gail M Gustafson | Registered Nurse | 205 S Front St, 4th Floor, Bma, Harrisburg, PA 17104-1619 | 2007-01-20 |
| Street Address |
119 NE 3RD ST |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-7403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477710721 | Access Acupuncture LLC | Acupuncturist | 119 Ne 3rd St, Gresham, OR 97030-7403 | 2008-05-22 |
| 1073736435 | A Body of Wisdom Natural Family Medicine, LLC | Naturopath | 119 Ne 3rd St, Gresham, OR 97030-7403 | 2007-04-11 |
| 1114974714 | Roseanne Marie Martin | Naturopath | 119 Ne 3rd St, Gresham, OR 97030-7403 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548685803 | Kimberly Hooser | Contractor | 5805 Se 15th Dr, Gresham, OR 97080-2984 | 2014-02-24 |
| 1407237787 | Patricia Paquette | Contractor | 1217 Ne Burnside Rd, Suite 701, Gresham, OR 97030-6722 | 2015-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108615 | Chala Chiri | Contractor | 2498 Aldine Ct Ne, Keizer, OR 97303-1905 | 2020-06-16 |
| 1215568399 | Rebecca Callahan | Contractor | 16979 Sw Steele Way, Beaverton, OR 97006-8935 | 2020-01-28 |
| 1225530512 | Francisco Garcia | Contractor | 18195 Webster Rd Apt 4, Gladstone, OR 97027-1455 | 2018-03-02 |
| 1316469307 | Habtemariam Ketema | Contractor | 16215 Se Webster Rd, Milwaukie, OR 97267-5254 | 2017-07-11 |
| 1720529100 | Morgan Leder | Contractor | 12356 Monitor Mckee Rd Ne, Woodburn, OR 97071-9089 | 2017-03-17 |
| 1982142360 | Brooke Marie Pascoe | Contractor | 6442 Ne 38th Ave, Portland, OR 97211-7812 | 2017-02-06 |
| 1578000956 | Aric Naber | Contractor | 4223 Se 74th Ave, Portland, OR 97206-3415 | 2017-01-24 |
| 1033661251 | Juli Bossert | Contractor | 2305 Ashland St Ste C443, Ashland, OR 97520-3777 | 2016-11-04 |
| 1912459488 | Jin Hwa Chung | Contractor | 1649 Sw 173rd Ter, Beaverton, OR 97003-4262 | 2016-10-31 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 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.