Gentog, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

GENTOG, LLC

Practice address

11535 SW Durham Rd
Suite C5
Tigard, OR 97224-3474

Phone

(503) 639-2600

NPI assigned

Jul 27, 2010

Organization subpart

No

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

Authorized official

Name

Marcie M Jones

Title

Co-President

Phone

(503) 639-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1508170945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11535 SW DURHAM RD",
            "address_2": "SUITE C5",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243474",
            "telephone_number": "503-639-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11535 SW DURHAM RD",
            "address_2": "SUITE C5",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243474",
            "telephone_number": "503-639-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTOG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "503-639-2600"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699816",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Geist
• Tony Gendvilas, O.D.
• Genesis Eldercare Rehabilitation Services LLC
• Gentle Care Massage & Spa
• Quandrae Gentle
• George M Douglass MD PC
• Ero Elise George, R.N.
• Jennifer George, PT
• Marissa George
• Melody Sue George, LCSW

• Custodial Care Facility in Tigard, OR
• Providers in Tigard, OR by specialty
• Custodial Care Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.