Individual provider Active NPI

Gregory Howard Stilson, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1265570741
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1320 Issued in OR
Practice address
7420 SW Garden Home Rd
Portland, OR 97223-9569
Phone
(503) 245-7711
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1320 OR Primary

Addresses

Primary practice location

7420 SW Garden Home Rd
Portland, OR 97223-9569

Mailing address

7420 SW Garden Home Rd
Portland, OR 97223-9569
Phone (503) 245-7711

Other names 1

  • Dr. Gregory Howard Stilson Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1320ORMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1265570741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SW GARDEN HOME RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239569",
            "telephone_number": "503-245-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 SW GARDEN HOME RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972239569",
            "telephone_number": "503-245-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILSON",
        "first_name": "GREGORY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "STILSON",
            "middle_name": "HOWARD",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.