Organization Active NPI

Laura Gillas LLC

  • Social Worker
  • McMinnville, OR
National Provider Identifier
1174764989
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
L3682 Issued in OR
Legal business name
LAURA GILLAS LLC
Practice address
717 SW Gilson St
McMinnville, OR 97128-6913
Phone
(503) 472-1301
Fax
(503) 472-3199
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Laura Gillas, LCSW
Title
Sole MBR
Phone
(503) 472-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X L3682 OR Primary

Addresses

Primary practice location

717 SW Gilson St
McMinnville, OR 97128-6913

Mailing address

717 SW Gilson St
McMinnville, OR 97128-6913
Phone (503) 472-1301

National Provider Directory

National Provider Directory

Locations

717 SW Gilson St
McMinnville, OR 97128
Phone (503) 472-1301

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1174764989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 SW GILSON ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286913",
            "telephone_number": "503-472-1301",
            "fax_number": "503-472-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 SW GILSON ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286913",
            "telephone_number": "503-472-1301",
            "fax_number": "503-472-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA GILLAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "GILLAS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "503-472-1301",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "OR",
            "license": "L3682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.