MS. GAYLE MELINDA MILLER (NPI# 1629010574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629010574 |
| Entity Type | Individual |
| Full Name | MS. GAYLE MELINDA MILLER |
| Credential | FNP |
| Practice Address |
4610 Se Belmont St Suite 60 Portland OR 97215-1752 |
| Mailing Address |
418 Ne Bridgeton Rd Portland OR 97211-1051 |
| Practice Telephone | 5039885303 |
| Practice Fax Number | 5039885112 |
| Mailing Telephone | 5035397884 |
| Mailing Fax Number | 5039885112 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
093007089N1 FNP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 150907 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033117643 | Gayle Patrice Miller | Radiology | 2596 F Rd, Grand Junction, CO 81505-1443 | 2005-07-08 |
| 1104913441 | Gayle Marie Miller | Pharmacist | 100 Ecorse Rd, Ypsilanti, MI 48198-5713 | 2006-10-06 |
| Street Address |
4610 SE BELMONT ST SUITE 60 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366497281 | Mary Katherine Crabtree | Nurse Practitioner | 4610 Se Belmont St, Suite 60, Portland, OR 97215-1752 | 2006-05-23 |
| 1295170421 | Sean Robert Derrickson IIi | Social Worker | 4610 Se Belmont St, Suite 10, Portland, OR 97215-1752 | 2013-05-01 |
| 1285740985 | Darlene J Anderson | Nurse Practitioner | 4610 Se Belmont St, Suite 60, Portland, OR 97215-1752 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568419091 | Carolyn Dolores Concia | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2006-05-30 |
| 1043862550 | Katherine Felicia Edstrom | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-07-15 |
| 1487216669 | Carolyn D Concia Np Prof Corp | Nurse Practitioner | 2308 Nw Stimpson Ln, Portland, OR 97229-8562 | 2019-07-08 |
| 1154809903 | Molly Christine Davis | Nurse Practitioner | 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 | 2018-08-03 |
| 1992115851 | Lizzie Colon | Nurse Practitioner | 5000 N Willamette Blvd, Portland, OR 97203 | 2014-04-30 |
| 1376885137 | Aimee Finau Cama | Nurse Practitioner | 6410 Ne Halsey St Ste 300, Portland, OR 97213 | 2013-03-20 |
| 1235408048 | Michael Dawson | Nurse Practitioner | 5100 Sw Macadam Ave Ste 200, Portland, OR 97239-3827 | 2011-12-22 |
| 1720304843 | Amy M Long | Nurse Practitioner | 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 | 2010-04-14 |
| 1255447447 | Eileen Gilmartin | Nurse Practitioner | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2006-08-22 |
| 1043247059 | Virginia Lee Harris | Nurse Practitioner | 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239-6102 | 2006-06-26 |
| 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.