Danielle Gambill, RN
Individual provider Active NPI Registered Nurse · Pilot Rock, OR
NPI 1306360128 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1306360128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 201705861RN (OR)
- Practice address
- 219 SW 5TH St
Pilot Rock, OR 97868-6688 - Phone
- (541) 215-7932
- NPI assigned
- Aug 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201705861RN | OR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 201705861RN | OR | Yes |
Addresses
Primary practice location
219 SW 5TH St
Pilot Rock, OR 97868-6688
Mailing address
219 SW 5TH St
Pilot Rock, OR 97868-6688
Phone (541) 215-7932
Other practice location 1
8 Heather Ct
Helix, OR 97835-0014
Phone (503) 367-1255
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 781972 | Medicaid | OR |
Other providers in Pilot Rock, OR
All providers in Pilot Rock, OR · Registered Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.