Active NPI
Jennifer Gabriel
- Specialist
- Beaverton, OR
National Provider Identifier
1235550633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 997459
- Practice address
- 15075 NW Oakmont Loop
Beaverton, OR 97006-5506 - Phone
- (503) 531-9957
- NPI assigned
- Jan 2, 2014
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 997459 | OR | Primary |
Addresses
Primary practice location
15075 NW Oakmont Loop
Beaverton, OR 97006-5506
Mailing address
15075 NW Oakmont Loop
Beaverton, OR 97006-5506
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 |
|---|---|---|---|
| 997459 | OR | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1235550633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15075 NW OAKMONT LOOP",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970065506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15075 NW OAKMONT LOOP",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970065506",
"telephone_number": "503-531-9957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "997459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.