CRAIG T GILLIS DO PC


Address: 4103 Mercantile Dr, Lake Oswego, OR 97035-2556
Phone: 5038509940

CRAIG T GILLIS DO PC (NPI# 1740842467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740842467
Entity Type Organization
Organization Name CRAIG T GILLIS DO PC
Practice Address 4103 Mercantile Dr
Lake Oswego
OR 97035-2556
Practice Telephone 5038509940
Practice Fax Number 5038506709
Mailing Telephone 5038509940
Mailing Fax Number 5038506709
Enumeration Date 2019-07-02
Last Update Date 2020-05-18
Authorized Official Name CRAIG GILLIS (PHYSICIAN)
Authorized Official Telephone 5038509940
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
Allopathic & Osteopathic Physicians
Y 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians

Office Location

Street Address 4103 MERCANTILE DR
City LAKE OSWEGO
State OR
Zip Code 97035-2556

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548296593 Amer J Mirza Orthopaedic Surgery 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 2006-06-23
1841817541 Adele E Smith Registered Nurse 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 2020-06-29
1356850267 Tasha Stark Physician Assistant 4103 Mercantile Dr, Lake Oswego, OR 97035 2017-09-22
1891247037 Gabrielle Engelhard Physician Assistant 4103 Mercantile Dr, Lake Oswego, OR 97035 2016-11-03
1982033494 Amer J Mirza, Md PC Clinic/Center 4103 Mercantile Dr, Lake Oswego, OR 97035 2013-11-05
1861755126 Craig Thomas Gillis Orthopaedic Surgery 4103 Mercantile Dr, Lake Oswego, OR 97035 2012-06-21
1538426499 Todd B Macleod Physician Assistant 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 2012-04-17
1730495599 Monica Marie Daugherty Physician Assistant 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 2010-08-30
1497082366 Orthopaedic Trauma Associates Specialist 4103 Mercantile Dr, Lake Oswego, OR 97035 2009-11-12
1427200021 Summit Orthopaedics, LLP Physician Assistant 4103 Mercantile Dr, Lake Oswego, OR 97035 2008-10-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932700127 Teresa Siebenaler Scott Social Worker 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 2020-11-04
1528671567 Martin Henry Lees Internal Medicine 14 Morningview Lane, Lake Oswego, OR 97035 2020-08-28
1356976187 Premere Rehab LLC Occupational Therapist Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 2020-03-12
1689212193 Jennifer Chauvin Nurse Practitioner 20 Juarez Street, Lake Oswego, OR 97035 2019-12-16
1003396888 Sarah Guenzburger Physical Therapist 3900 Kruse Way Pl, Lake Oswego, OR 97035 2018-08-21
1568964252 Brett Johnson Marriage & Family Therapist 5655 Southwood Dr, Lake Oswego, OR 97035 2018-03-08
1912416561 Michael Paul Long Social Worker 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 2017-09-27
1467807859 Misty Lohn Nurse Practitioner 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 2016-05-04
1326405473 Kelsey Prince Behavioral Analyst 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 2016-01-20
1942683388 Elizabeth Risberg Harrison Massage Therapist 190 Oswego Summit, Lake Oswego, OR 97035 2015-07-02
Find all providers in zip 97035

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356483374 Michael Raymond Marble Orthopaedic Surgery 5226 Dawn Ave, Lake Oswego, OR 97035-8112 2007-02-13
1548296593 Amer J Mirza Orthopaedic Surgery 4103 Mercantile Dr, Lake Oswego, OR 97035-2556 2006-06-23
1861755126 Craig Thomas Gillis Orthopaedic Surgery 4103 Mercantile Dr, Lake Oswego, OR 97035 2012-06-21
1124290820 Marilyn Louise Yodlowski Orthopaedic Surgery 16001 Quarry Rd, Lake Oswego, OR 97035-3359 2008-04-02
1609048180 John Wallace Thompson Orthopaedic Surgery 16001 Quarry Rd, Lake Oswego, OR 97035-3359 2008-03-25
1609048271 Wayne Kaesche Orthopaedic Surgery 16001 Quarry Rd, Lake Oswego, OR 97035-3359 2008-03-24
1629249354 Gregory Strum Orthopaedic Surgery 16001 Quarry Rd, Lake Oswego, OR 97035-3359 2008-03-20
1952572679 John Walter Swanson Orthopaedic Surgery 16001 Quarry Rd, Lake Oswego, OR 97035-3359 2008-03-20
1093986572 Stephen Fuller Orthopaedic Surgery 16001 Quarry Rd, Lake Oswego, OR 97035-3359 2008-03-12
1437287455 Britton A Frome Md PC Orthopaedic Surgery 4103 Mercantile Dr, Lake Oswego, OR 97035 2007-03-01
Find all providers in LAKE OSWEGO

Competitor

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City LAKE OSWEGO
Zip Code 97035

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Dataset Information

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.

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