MS. GAIL RENEE WILSON (NPI# 1821205246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821205246 |
| Entity Type | Individual |
| Full Name | MS. GAIL RENEE WILSON |
| Practice Address |
2614 Se 115th Ave Apt 2 Portland OR 97266-1176 |
| Practice Telephone | 5037574245 |
| Mailing Telephone | 5037574245 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
3245S0500X | OR | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639574643 | Gail A Wilson | Registered Nurse | 1205 31st St Ne, Canton, OH 44714-1525 | 2014-11-03 |
| 1356514723 | Gail Sallis Wilson | Social Worker | 512 Bronson St, Palatka, FL 32177-3425 | 2008-04-08 |
| 1235225798 | Gail W Wilson | Social Worker | 6380 Lbj Freeway, Concourse Off Park # 283, Dallas, TX 75240-6411 | 2006-10-04 |
| 1366913758 | Gail Wilson | Counselor | 215 Sandwich Rd, Wareham, MA 02571-1637 | 2018-12-10 |
| 1730666892 | Gail Wilson | Behavior Technician | 132 Robbs Hill Rd, Lunenburg, MA 01462 | 2018-07-23 |
| 1770993677 | Gail Wilson | Case Manager/Care Coordinator | 566 Haddon Ave, Collingswood, NJ 08108-1444 | 2014-04-30 |
| 1609199884 | Gail Rebecca Wilson | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2010-03-02 |
| 1760652739 | Gail M Wilson | Counselor | 4 North Avenue, Suite 306, Bel Air, MD 21014-0000 | 2008-03-06 |
| 1912114620 | Gail Wilson | Counselor | 1010 Gough St, San Francisco, CA 94109-7622 | 2007-05-16 |
| 1790814044 | Gail Cannon Wilson | Psychologist | 1419 Amelia St, New Orleans, LA 70115-3624 | 2007-03-04 |
| Street Address |
2614 SE 115TH AVE APT 2 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-1176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396186607 | Richard Ivan Vaughan | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97208-3007 | 2013-07-15 |
| 1689924722 | Depaul Treatment Center | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2012-09-17 |
| 1417277021 | De Paul Treatment Center | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2010-06-04 |
| 1548407646 | Kelsey Corrine Coffey | Substance Abuse Rehabilitation Facility | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2009-01-11 |
| 1346420338 | Depaul Treatment Center | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2007-11-07 |
| 1841318581 | Depaul Youth and Family | Substance Abuse Rehabilitation Facility | 4310 Ne Killingsworth St, Portland, OR 97218-1404 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467885145 | Klamath County Juvenile Department | Substance Abuse Rehabilitation Facility | 3331 Vandenberg Rd, Klamath Falls, OR 97603-3730 | 2013-08-16 |
| 1740543297 | Marion County Health Department | Substance Abuse Rehabilitation Facility | 3529 Fisher Rd Ne, Salem, OR 97305 | 2012-06-20 |
| 1972864759 | New Directions Northwest, Inc. | Substance Abuse Rehabilitation Facility | 3700 Midway Drive, Baker City, OR 97814 | 2012-06-07 |
| 1578864641 | Klamath Tribal Health & Family Services | Substance Abuse Rehabilitation Facility | 121 Iowa St., Klamath Falls, OR 97601 | 2010-11-05 |
| 1023322690 | The Northstar Center | Substance Abuse Rehabilitation Facility | 1195 Nw Wall St, Bend, OR 97701-1965 | 2010-08-05 |
| 1811215478 | Rimrock Trails Adolescent Treatment Services | Substance Abuse Rehabilitation Facility | 16360 1st Street, La Pine, OR 97739-0305 | 2010-05-06 |
| 1730362534 | Adapt | Substance Abuse Rehabilitation Facility | 2064 Se Douglas Ave, Roseburg, OR 97470-3713 | 2007-12-14 |
| 1851753123 | Dalana Sewell | Substance Abuse Rehabilitation Facility | 234 W 5th St, Medford, OR 97501-2611 | 2016-03-24 |
| 1225403744 | Looking Glass Community Services - Pathways Boys | Substance Abuse Rehabilitation Facility | 550 River Rd, Eugene, OR 97404-3212 | 2015-12-09 |
| 1265866305 | Hillcrest Youth Correctional Facility-oregon Youth Authority | Substance Abuse Rehabilitation Facility | 2450 Strong Rd Se, Salem, OR 97302-9676 | 2013-08-26 |
| 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.