Individual provider Active NPI

Lynn Eleanor-Johnson Gower, DO

  • Family Medicine Physician
  • Mill City, OR
National Provider Identifier
1275708000
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO28522 Issued in OR
Practice address
280 S 1St Ave
Mill City, OR 97360-2324
Phone
(503) 897-4100
Fax
(503) 897-2673
NPI assigned
Apr 23, 2008
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO28522 OR Primary

Addresses

Primary practice location

280 S 1St Ave
Mill City, OR 97360-2324

Mailing address

PO Box 47
Mill City, OR 97360-0047
Phone (503) 897-4100

Other practice location 1

36000 Darnall Loop
Carl R Darnall Army Medical Center
Fort Hood, TX 76544
Phone (541) 231-2035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721002724 OR Practitioner - Family Practice 1557631637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santiam Memorial HospitalGroup PAC ID 6103729751, 128 clinicians

Practice addresses (Care Compare)

280 S 1St Ave
Mill City, OR 97360-2324
Phone (503) 897-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Santiam Memorial Hospital Current Accepting new patients
Santiam Memorial Hospital CurrentSince Jul 1, 2017 Accepting new patients
Santiam Memorial Hospital Family Medicine Past Accepting new patients
Santiam Memorial Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

280 S 1st Ave
Mill City, OR 97360
Phone (503) 897-4100

1401 N 10th Ave
Stayton, OR 97383
Phone (503) 769-2175

Interoperability endpoints

  • Direct secure messaging: lgower@santiam.securechart.com

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1275708000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "MILL CITY",
            "state": "OR",
            "postal_code": "973600047",
            "telephone_number": "503-897-4100",
            "fax_number": "503-897-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S 1ST AVE",
            "city": "MILL CITY",
            "state": "OR",
            "postal_code": "973602324",
            "telephone_number": "503-897-4100",
            "fax_number": "503-897-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36000 Darnall Loop",
            "address_2": "Carl R Darnall Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Fort Hood",
            "state": "TX",
            "postal_code": "76544",
            "country_code": "US",
            "telephone_number": "541-231-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOWER",
        "first_name": "LYNN",
        "middle_name": "ELEANOR-JOHNSON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO28522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill City, OR

Sources for this page

Verify at the official NPI Registry.