Joan Elizabeth Gallagher, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Practice address

715 SW Morrison St
Suite 900
Portland, OR 97205-3122

Phone

(503) 929-6614

NPI assigned

Mar 6, 2007

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)

Enrolled

Credentials

Nurse Practitioner

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.

• Radiology Specialists of the Northwest, PC

  • Diagnostic Radiology Physician
  • Portland, OR
  • NPI 1699759498
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1710017926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NW JOHNSON ST APT 420",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093075",
            "telephone_number": "971-255-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SW MORRISON ST",
            "address_2": "SUITE 900",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053122",
            "telephone_number": "503-929-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "JOAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278760",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Manuel Galindo
• Alexandra Camille Gallagher, MD
• Catherine Ann Gallagher, LPC
• Emily Rose Gallagher, MD
• Erin K. Gallagher, M.A.
• Julie Renee Gallagher, BS
• Mary Lucarelli Gallagher, CNM
• Meg Gallagher, LMT
• Megan Kathleen Gallagher, CADC I
• Morgan Gallagher

• Family Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.