Gresham Women's Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRESHAM WOMEN'S HEALTH LLC

Practice address

515 NE Roberts Ave
Gresham, OR 97030-7307

Phone

(503) 477-2478

NPI assigned

Feb 26, 2024

Organization subpart

No

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

Authorized official

Name

Miss Nikkiel Lefebre, FNP-C

Title

Owner

Phone

(503) 459-7496

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikkiel King, MSN FNP

  • Family Nurse Practitioner
  • Gresham, OR
  • NPI 1801337746
  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1114783396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NE ROBERTS AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307307",
            "telephone_number": "503-477-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NE ROBERTS AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307307",
            "telephone_number": "503-477-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRESHAM WOMEN'S HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-25",
        "status": "A",
        "authorized_official_last_name": "LEFEBRE",
        "authorized_official_first_name": "NIKKIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-459-7496",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gresham Therapeutic Massage Center
• Gresham Therapeutic Massage Center
• Gresham Vision Center, Inc
• Gresham West of Cascadia, LLC
• Gresham West of Olympus, LLC
• Gresham Women's Healthcare, PC
• Timothy William Grieve, CADC II
• Gregory Griffin, LMT
• Janie Donalda Griffin, CPNP
• Susie Griffin, LMT

• Family Medicine Physician in Gresham, OR
• Providers in Gresham, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.