Active NPI
Teri Lyn Gabriel, DC
- Chiropractor
- Gresham, OR
National Provider Identifier
1477594539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3601
- Practice address
- 1748 NW Faiview Dr
Gresham, OR 97030-3842 - Phone
- (503) 492-3910
- Fax
- (503) 674-6706
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3601 | OR | Primary |
| Chiropractor | 111N00000X | CH00034518 | WA |
Addresses
Primary practice location
1748 NW Faiview Dr
Gresham, OR 97030-3842
Mailing address
1748 NW Faiview Dr
Gresham, OR 97030-3842
Phone (503) 492-3910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1748 NW Fairview Dr
Gresham, OR 97030-3842
Phone (503) 492-3910
1748 NW Faiview Dr
Gresham, OR 97030-3842
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3601 | OR | MD | Chiropractor |
| CH00034518 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nu-Life Sportsmedicine and Health Care Center PLLC | Chiropractor | Past | Accepting new patients |
| Blume Family Chiropractic & Massage, Inc | Chiropractor | Past | Accepting new patients |
| Family Chiropractic Inc | Chiropractor | Past | Accepting new patients |
| Battle Ground Advantage Chiropractic PS | Chiropractor | Past | Accepting new patients |
| Advantage Chiropratic & Massage, P.S. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Gresham, OR
- NPI 1821388687
-
- Chiropractor
- Longview, WA
- NPI 1750497236
-
- Chiropractor
- Battle Ground, WA
- NPI 1104507425
-
- Chiropractor
- Centralia, WA
- NPI 1982876330
-
- Chiropractor
- Centralia, WA
- NPI 1144353483
-
- Chiropractor
- Battle Ground, WA
- NPI 1720106255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1477594539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1748 NW FAIVIEW DR",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303842",
"telephone_number": "503-492-3910",
"fax_number": "503-674-6706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 NW FAIVIEW DR",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303842",
"telephone_number": "503-492-3910",
"fax_number": "503-674-6706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABRIEL",
"first_name": "TERI LYN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3601",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034518",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.