Stephanie Taylan Gosselin, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

20024228RN Issued in OR

Practice address

7632 SW Durham Rd Ste 105
Tigard, OR 97224-7597

Phone

(503) 828-2457

NPI assigned

May 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1235713413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 SW MADISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051025",
            "telephone_number": "415-279-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 SW DURHAM RD STE 105",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247597",
            "telephone_number": "503-828-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSELIN",
        "first_name": "STEPHANIE",
        "middle_name": "TAYLAN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "RN61077841",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OR",
            "license": "20024228RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgosselin@4signatureservice.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "2350 SW Madison St",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972051025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren A Gorence, PA-C
• Irene Gorley
• Chantel M Gorton, DPT
• Jim Alan Gosewehr, M.D.
• Jason Aaron Goss, CADC-R T-24-4757
• Emma Gottfried, PT
• Ian McAllister Gould, BSN, RN
• Melanie Jean Gould
• Celeste Goulding
• Kirsten Gower, DPT

• Home Health Registered Nurse in Tigard, OR
• Providers in Tigard, OR by specialty
• Home Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.