LINDA MARIE GAETH (NPI# 1457499956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457499956 |
| Entity Type | Individual |
| Full Name | LINDA MARIE GAETH |
| Credential | ANP, PMHNP,MN, BC |
| Practice Address |
5331 Sw Macadam Ave Suite 358 Portland OR 97239-6104 |
| Mailing Address |
5331 Sw Macadam Suite 358 Portland OR 97239-3011 |
| Practice Telephone | 5032440655 |
| Practice Fax Number | 5032420492 |
| Mailing Telephone | 5032440655 |
| Mailing Fax Number | 5032420492 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2009-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0000366690N3 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0000366690N6 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 068239 | 05 |
| Street Address |
5331 SW MACADAM AVE SUITE 358 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629050406 | Kelly Osmont | Social Worker | 5331 Sw Macadam Ave, Suite 397, Portland, OR 97239-6104 | 2005-11-16 |
| 1710424338 | Good Point Acupuncture, LLC | Acupuncturist | 5331 Sw Macadam Ave, Ste 380, Portland, OR 97239 | 2017-01-20 |
| 1871952937 | Jason Wysocki | Naturopath | 5331 Sw Macadam Ave, Suite 380, Portland, OR 97239-6104 | 2016-02-17 |
| 1528435385 | Raleigh Warren | Chiropractor | 5331 Sw Macadam Ave, Suite 307, Portland, OR 97239-6104 | 2015-08-27 |
| 1134513286 | Corpo Sano Nutrition LLC | Nutritionist | 5331 Sw Macadam Ave, Suite 380, Portland, OR 97239-6104 | 2015-03-26 |
| 1861815318 | Alexander Kahn | Acupuncturist | 5331 Sw Macadam Ave, Ste. 380, Portland, OR 97239-6104 | 2014-02-03 |
| 1295161560 | Teryl Jan Clendenin | Nurse Practitioner | 5331 Sw Macadam Ave, Suite 209, Portland, OR 97239 | 2013-09-18 |
| 1124395546 | 8 Hearts LLC | Naturopath | 5331 Sw Macadam Ave, Suite 285, Portland, OR 97239-6104 | 2011-11-30 |
| 1811287543 | Crosscurrent, Inc. | Prosthetic/Orthotic Supplier | 5331 Sw Macadam Ave, Ste 216, Portland, OR 97239-6104 | 2011-04-14 |
| 1699077966 | Jennifer Kathleen Connor-smith | Psychologist | 5331 Sw Macadam Ave, Suite 363, Portland, OR 97239-6104 | 2010-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1497309652 | Dorothy Elizabeth Zirkle | Nurse Practitioner | 66 Bramhall St Ste Gi, Portland, ME 04102-3344 | 2019-07-26 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1154694941 | Donald Upton | Nurse Practitioner | 6959 N Fenwick Ave, Portland, OR 97217-5305 | 2012-02-09 |
| 1497073936 | Jeffrey Grimm | Nurse Practitioner | 1741 Nw 24th Ave, Portland, OR 97210 | 2010-05-07 |
| 1548469869 | Ashlyn J Cross | Nurse Practitioner | Department of Dermatology 3303 Bond Ave., Portland, OR 97239-4501 | 2007-07-17 |
| 1326256959 | Mary Thompson Pierce | Nurse Practitioner | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2533 | 2007-05-18 |
| 1669595237 | Shannon Marie Gwartney | Nurse Practitioner | 808 Sw 15th Ave., Portland, OR 97205 | 2007-04-09 |
| 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.