Individual provider Active NPI

Christina Evans Gagosian, M.S., OTR/L

  • Occupational Therapist
  • Beaverton, OR
National Provider Identifier
1558897181
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
381117 Issued in OR
Practice address
4900 SW Griffith Drive
Suite 157
Beaverton, OR 97005
Phone
(503) 517-8555
Fax
(503) 517-8556
NPI assigned
May 2, 2017
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 381117 OR Primary

Addresses

Primary practice location

4900 SW Griffith Drive
Suite 157
Beaverton, OR 97005

Mailing address

P.O. Box 623
Gladstone, OR 97027
Phone (503) 517-8555

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
Master of Science

State licenses

LicenseStateTypeSpecialty
381117ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Hello Foundation LLC CurrentSince Jul 4, 2021 Accepting new patients

Locations

4900 SW Griffith Dr
Ste 157
Beaverton, OR 97005
Phone (503) 444-8230

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1558897181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 623",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "97027",
            "telephone_number": "503-517-8555",
            "fax_number": "503-517-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DRIVE",
            "address_2": "SUITE 157",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97005",
            "telephone_number": "503-517-8555",
            "fax_number": "503-517-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGOSIAN",
        "first_name": "CHRISTINA",
        "middle_name": "EVANS",
        "name_prefix": "Ms.",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "381117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.