Active NPI
Olga Gililland
- Massage Therapist
- Keizer, OR
National Provider Identifier
1164887782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 20485
- Practice address
- 4630 River Rd N
Suite a
Keizer, OR 97303-4648 - Phone
- (503) 304-2225
- Fax
- (503) 304-2226
- NPI assigned
- Dec 24, 2015
- Last updated
- Dec 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 20485 | OR | Primary |
Addresses
Primary practice location
4630 River Rd N
Suite a
Keizer, OR 97303-4648
Mailing address
4630 River Rd N
Suite a
Keizer, OR 97303-4648
Phone (503) 304-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20485 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffery W. Baker D.C. P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450915200000",
"number": "1164887782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 RIVER RD N",
"address_2": "SUITE A",
"city": "KEIZER",
"state": "OR",
"postal_code": "973034648",
"telephone_number": "503-304-2225",
"fax_number": "503-304-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 RIVER RD N",
"address_2": "SUITE A",
"city": "KEIZER",
"state": "OR",
"postal_code": "973034648",
"telephone_number": "503-304-2225",
"fax_number": "503-304-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILILLAND",
"first_name": "OLGA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-24",
"last_updated": "2015-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "20485",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keizer, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.