Active NPI
Carol Elizabeth Gunn, M.D.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Portland, OR
National Provider Identifier
1457401176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- MD26333
- Practice address
- 9370 SW Greenburg Rd
Suite 101
Portland, OR 97223-5442 - Phone
- (503) 246-7030
- Fax
- (503) 246-0429
- NPI assigned
- Jan 12, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | MD26333 | OR | Primary |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | A86540 | CA | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 43420 | CO |
Addresses
Primary practice location
9370 SW Greenburg Rd
Suite 101
Portland, OR 97223-5442
Mailing address
9370 SW Greenburg Rd
Suite 101
Portland, OR 97223-5442
Phone (503) 246-7030
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86540 | CA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| 43420 | CO | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
| MD26333 | OR | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457401176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9370 SW GREENBURG RD",
"address_2": "SUITE 101",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972235442",
"telephone_number": "503-246-7030",
"fax_number": "503-246-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9370 SW GREENBURG RD",
"address_2": "SUITE 101",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972235442",
"telephone_number": "503-246-7030",
"fax_number": "503-246-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNN",
"first_name": "CAROL",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "OR",
"license": "MD26333",
"primary": true
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CA",
"license": "A86540",
"primary": false
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "CO",
"license": "43420",
"primary": false
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.