Gresham Family Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GRESHAM FAMILY CARE INC

Doing business as

Care Plus You

Practice address

1800 Blankenship Rd Ste 350
West Linn, OR 97068-4182

Phone

(503) 213-6600

Fax

(971) 350-7350

NPI assigned

Feb 14, 2020

Last updated

May 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Haines

Title

Owner

Phone

(503) 213-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Care Plus You Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ann Gibson, NP

  • Community Health Nurse Practitioner
  • Oregon City, OR
  • NPI 1346301918
  Medicare reassignment NPD
• Megan Nichole Wimberly, FNP-BC

  • Family Nurse Practitioner
  • West Linn, OR
  • NPI 1619725447
  NPD
• Margaret Burkes, ND

  • Naturopath
  • Wilsonville, OR
  • NPI 1326358268
  NPD (past)
• Irene Chau

  • Student in an Organized Health Care Education/Training Program
  • West Linn, OR
  • NPI 1053239731
  NPD (past)

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1710510094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970680091",
            "telephone_number": "503-213-6600",
            "fax_number": "971-350-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BLANKENSHIP RD STE 350",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684182",
            "telephone_number": "503-213-6600",
            "fax_number": "971-350-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRESHAM FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-213-6600"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500774621",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Plus You",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Marie Grace, R.D.
• Krista Grant
• Jessica Marie Greenleaf, LMT
• Gregory L. Combs, M.D., P.C.
• John Howard Gregory, CERTIFIED ORTHOTIST
• Corey Gene Griggs
• Frank M Gruner, FRANK GRUNER
• Gregory Gullo, MD
• Addie Teller Hahn, L.M.T., C.C.L.S.
• Emily Hansen, LMT

• Family Medicine Physician in West Linn, OR
• Providers in West Linn, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.