Mirela Gavojdea

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

511807 Issued in OR

Practice address

12625 SW Grant Ave.
Tigard, OR 97223

Phone

(503) 620-8425

NPI assigned

Aug 31, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1477009140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 SW GRANT AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235141",
            "telephone_number": "503-620-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 SW GRANT AVE.",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "97223",
            "telephone_number": "503-620-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVOJDEA",
        "first_name": "MIRELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OR",
            "license": "511807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi J Garrett
• Saleena Lanae Garrettson
• Kaitlin Gaspich
• Ashley Elaine Gaston-Filler
• Kirk Thomas Gates
• La Tonya Terrell Gay
• Anna Marissa Gearing
• Jonathan Louis Gedeon
• Laura Geelan, RDH
• Kiana Gehon

• Adult Care Home Facility in Tigard, OR
• Providers in Tigard, OR by specialty
• Adult Care Home Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.