Laurel Oliver-Gilmore, M.ED.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

5232 N Interstate Ave
Portland, OR 97217

Phone

(503) 575-9402

Fax

(503) 360-1299

NPI assigned

Dec 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

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.

• Creative Therapy Connections, LLC

  • Rehabilitation Clinic/Center
  • Portland, OR
  • NPI 1174857577
  NPD (past)

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1669701538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 NE MORGAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972112934",
            "telephone_number": "503-575-9402",
            "fax_number": "503-360-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 N INTERSTATE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97217",
            "telephone_number": "503-575-9402",
            "fax_number": "503-360-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER-GILMORE",
        "first_name": "LAUREL",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Morgan Olivares, L.C.S.W.
• Ruby Kingsbury Olivares
• Aimee Olivas
• Ambar Olivas, M.ED., CADC-1
• Olive Branch Residential Treatment Home
• Alexander Arelin Oliver
• Christina Leigh Oliver, M.D.
• Hailey C. Oliver, OTD, OTR/L
• Imani Oliver
• Jennifer Ann Oliver, LPTA

• Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; 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.