Active NPI
Jordan Little Gabilondo
- Social Worker
- Portland, OR
National Provider Identifier
1356862155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 7632 SE Flavel St
Portland, OR 97206-7813 - Phone
- (503) 467-0581
- NPI assigned
- Jun 30, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
7632 SE Flavel St
Portland, OR 97206-7813
Mailing address
6300 E Burnside St Apt 1
Portland, OR 97215-1300
Phone (541) 961-1317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0177 | Other | OR | JANUS YOUTH PROGRAM |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1356862155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 E BURNSIDE ST APT 1",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972151300",
"telephone_number": "541-961-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7632 SE FLAVEL ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972067813",
"telephone_number": "503-467-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABILONDO",
"first_name": "JORDAN",
"middle_name": "LITTLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-30",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JANUS YOUTH PROGRAM",
"identifier": "0177",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}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 Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.