Active NPI
Beth Rachel Gabbard, O.D.
- Optometrist
- Clackamas, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3556AT
- Practice address
- 12817 SE 93Rd Ave
Clackamas, OR 97015-5735 - Phone
- (503) 783-3300
- Fax
- (503) 783-3319
- NPI assigned
- Jun 18, 2006
- Last updated
- Sep 10, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD 60529922 | WA | |
| Optometrist | 152W00000X | 3556AT | OR | Primary |
| Optometrist | 152W00000X | 046-009692 | IL | |
| Optometrist | 152W00000X | 6553T | TX |
Addresses
Primary practice location
12817 SE 93Rd Ave
Clackamas, OR 97015-5735
Mailing address
PO Box 22009
Portland, OR 97269
Phone (503) 558-7372
Other practice location 1
3978 N Williams Ave
Portland, OR 97227-1445
Phone (503) 493-7070
Other practice location 2
8046 SE 13th Ave
Portland, OR 97202-6606
Phone (503) 420-8689
Other practice location 3
12 SE 28th Ave
Portland, OR 97214-1802
Phone (503) 282-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12817 SE 93Rd Ave
Clackamas, OR 97015-5735
Phone (503) 783-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009692 | IL | MD | Optometrist |
| 3556AT | OR | MD | Optometrist |
| 6553T | TX | MD | Optometrist |
| OD 60529922 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Eye Health Northwest, PC | Current | Accepting new patients | |
| Aeg Oregon Professional LLC | Optometrist | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Eye Health Northwest P.C. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Past | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Past | Accepting new patients |
Locations
12817 SE 93rd Ave
Clackamas, OR 97015
Phone (503) 783-3300
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
19500 SE Stark St
Portland, OR 97233
Phone (503) 669-3900
8136 SE Foster Rd
Ste 260
Portland, OR 97206
Phone (503) 546-4460
11086 SE Oak St
Portland, OR 97222
Phone (503) 557-2020
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
2211 E Mill Plain Blvd
Vancouver, WA 98661
Phone (360) 418-6001
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Ophthalmology Physician
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- NPI 1619959731
-
- Optometrist
- Salem, OR
- NPI 1679253397
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
dba Interstate Radiation Oncology
- Radiation Oncology Clinic/Center
- Portland, OR
- NPI 1093043424
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- General Practice Physician
- Portland, OR
- NPI 1982959565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1518902089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22009",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97269",
"telephone_number": "503-558-7372",
"fax_number": "503-344-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12817 SE 93RD AVE",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155735",
"telephone_number": "503-783-3300",
"fax_number": "503-783-3319"
}
],
"practiceLocations": [
{
"address_1": "3978 N Williams Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271445",
"country_code": "US",
"telephone_number": "503-493-7070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8046 SE 13th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972026606",
"country_code": "US",
"telephone_number": "503-420-8689",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 SE 28th Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972141802",
"country_code": "US",
"telephone_number": "503-282-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GABBARD",
"first_name": "BETH",
"middle_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-18",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD 60529922",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3556AT",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-009692",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6553T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clackamas, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.