Gabriella Solita Marincovich-Mallares

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3194 Marine Dr
Astoria, OR 97103-2734

Phone

(503) 325-5722

Fax

(503) 861-2043

NPI assigned

Jun 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1376169581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N HIGHWAY 101 STE 204",
            "city": "WARRENTON",
            "state": "OR",
            "postal_code": "971469371",
            "telephone_number": "503-325-5722",
            "fax_number": "503-861-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3194 MARINE DR",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971032734",
            "telephone_number": "503-325-5722",
            "fax_number": "503-861-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINCOVICH-MALLARES",
        "first_name": "GABRIELLA",
        "middle_name": "SOLITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Maguire, QMHA, CADC-R, CHW
• Dawn Malcolm
• Steven Manesis
• John Thomas Mansfield, MD
• Anna Leonidovna Marina, M.D.
• Shannon M Marsh, APRN
• Allison Kay Martin, M.D.
• Diane Martin
• Gina Martin, LMT
• Mary Bess Gloria ND LLC

• Case Manager/Care Coordinator in Astoria, OR
• Providers in Astoria, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.