NPIMap

Individual provider Active NPI

Christine Dawn Gallagher

  • Family Nurse Practitioner
  • Corvallis, OR
National Provider Identifier
1023856044
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10028900 Issued in OR
Practice address
3640 NW Samaritan Dr Ste 100
Corvallis, OR 97330-3738
Phone
(541) 768-5205
NPI assigned
Jul 15, 2024
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10028900 OR Primary

Addresses

Primary practice location

3640 NW Samaritan Dr Ste 100
Corvallis, OR 97330-3738

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgallagher304363@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822002253 OR Practitioner - Nurse Practitioner 3476092438 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany General HospitalGroup PAC ID 9931097987, 191 clinicians
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians
Good Samaritan Hospital CorvallisGroup PAC ID 1557270725, 372 clinicians
Samaritan Pacific Health Services IncGroup PAC ID 2466353529, shared by 7 NPIs, 86 clinicians

Practice addresses (Care Compare)

1046 6TH Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

325 Park St
Lebanon, OR 97355-4229
Phone (541) 451-7200

3600 NW Samaritan Dr
Corvallis, OR 97330-3737

3640 NW Samaritan Dr
Suite 210
Corvallis, OR 97330-3787
Phone (541) 768-5810

425 N Santiam Hwy
Lebanon, OR 97355-4361

525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101

631 Elm St SW
Albany, OR 97321-1952

705 Elm St SW
Suite 200
Albany, OR 97321-1957
Phone (541) 812-4850

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 265-2244

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10028900ORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Corvallis CurrentSince Sep 2, 2024 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Aug 4, 2024 Accepting new patients
Mid-Valley Healthcare Inc CurrentSince Sep 2, 2024 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Sep 2, 2024 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Sep 2, 2024 Accepting new patients
Samaritan Pacific Health Services, Inc. Current Accepting new patients
Albany General Hospital CurrentSince Sep 2, 2024 Accepting new patients
Albany General Hospital CurrentSince Sep 2, 2024 Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Sep 2, 2024 Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients
Samaritan Pacific Health Services, Inc CurrentSince Sep 2, 2024 Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Sep 2, 2024 Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Sep 2, 2024 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Samaritan North Lincoln Hospital CurrentSince Sep 2, 2024 Accepting new patients
Albany General Hospital Current Accepting new patients
Mid-Valley Healthcare, Inc. CurrentSince Sep 2, 2024 Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: cgallagher304363@samhealth.direct-ci.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 74

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 74

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1023856044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 NW SAMARITAN DR STE 100",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303738",
            "telephone_number": "541-768-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "CHRISTINE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10028900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgallagher304363@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3640 NW Samaritan Dr Ste 100",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.