Kristen M Gallaway, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H6581 Issued in OR

Practice address

3300 SE Dwyer Dr
Ste 302
Milwaukie, OR 97222-6548

Phone

(503) 850-4479

NPI assigned

Sep 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
  • NPI 1174820815
  NPD (past)
• Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Milwaukie, OR
  • NPI 1750729257
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1699101394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 SW HUNZIKER RD STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972232302",
            "telephone_number": "503-941-3033",
            "fax_number": "503-747-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 SE DWYER DR",
            "address_2": "STE 302",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226548",
            "telephone_number": "503-850-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAWAY",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H6581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500662591",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dacia Loralee Fusaro, LMSW
• Gina Gabrielli, AU.D.
• Justin David Galasso
• Absalenis Estrella Gallardo Farfan, RN
• Courtney Gallaway
• Josephine Lingatong Galon, RPT
• Rhyan Gomez Gamboa, OTR
• Aboli Gandhi, PT, DPT
• Valerie Elizabeth Gansen, P.T
• Tara Gantz

• Dental Hygienist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.