Active NPI
G&H Healthcare Inc
- Primary Care Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- G&H HEALTHCARE INC
- Doing business as
- G&H HEALTHCARE INC
- Practice address
- 1340 SW Bertha Blvd Ste 103
Portland, OR 97219-2096 - Phone
- (888) 984-7277
- Fax
- (833) 989-2307
- NPI assigned
- Sep 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly L. Bradley, FNP-C
- Title
- Family Nurse Practitioner
- Phone
- (888) 984-7277
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
1340 SW Bertha Blvd Ste 103
Portland, OR 97219-2096
Mailing address
1340 SW Bertha Blvd Ste 103
Portland, OR 97219-2096
Phone (888) 984-7277
Other names 1
- G&H HEALTHCARE INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, MS
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2289564 | G&H Healthcare Inc | Provider-performed microscopy | Sep 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
1340 SW Bertha Blvd
Ste 103
Portland, OR 97219
Phone (209) 515-3571
Interoperability endpoints
- https://api.platform.athenahealth.com/22281/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Portland, OR
- NPI 1265939185
MS, Urgent Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1376158774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 SW BERTHA BLVD STE 103",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192096",
"telephone_number": "888-984-7277",
"fax_number": "503-386-2097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 SW BERTHA BLVD STE 103",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972192096",
"telephone_number": "888-984-7277",
"fax_number": "833-989-2307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G&H HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-11",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "BRADLEY",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "888-984-7277",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "G&H HEALTHCARE INC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.