Terena D Gimmillaro
Family Doctor Family Doctor - Addiction Medicine
4805 Ne Glisan St
Portland
, Oregon 97213-2933
Terena D Gimmillaro
Family Doctor Family Doctor - Addiction Medicine
4805 Ne Glisan St
Portland
, Oregon 97213-2933
Write a Review Share Save Call
About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Terena D Gimmillaro
- Po Box 3158
- Portland, OR
- Zip : 97208-3158
- Phone :
Second Address
- Terena D Gimmillaro
- 4805 Ne Glisan St
- Portland, OR
- Zip : 97213-2933
- Phone : (503) 215-4860
Reviews
FAQs
Where did Terena D Gimmillaro attend graduate school?
Where did Terena D Gimmillaro do her residency?
Where did Terena D Gimmillaro do her fellowship?
Is Terena D Gimmillaro board certified?
What type of doctor is Terena D Gimmillaro
In what state does Terena D Gimmillaro practice in?
Where is Terena D Gimmillaro ’s practice located?
What is Terena D Gimmillaro ’s gender?
Is Terena D Gimmillaro a sole practitioner?
Is Terena D Gimmillaro accepting new patients?
What languages does Terena D Gimmillaro speak?
Does Terena D Gimmillaro accept insurance?
Does Terena D Gimmillaro offers telemedicine?
What is Terena D Gimmillaro ’s professional license number?
What is Terena D Gimmillaro ’s NPI number?
Does Terena D Gimmillaro have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | DO173630 | OR |
| N | 207QA0401X | Family Doctor - Addiction Medicine | DO173630 | OR |
National Provider Identifier
| NPI | 1235574955 |
|---|---|
| Provider Name | Terena D Gimmillaro |
| First Address | Portland, OR 97208-3158 |
| Second Address | Portland, OR 97213-2933 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/05/2013 |
| Last Update Date | 14/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 500701579 | (05) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.