Gary D Warnock, CADC I

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3910 SE Stark St
Portland, OR 97214-3214

Phone

(503) 235-8655

NPI assigned

Jun 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Volunteers of America Inc.

  • Contractor
  • Portland, OR
  • NPI 1376611418
  NPD (past)
• Volunteers of America Oregon

  • Specialist
  • Portland, OR
  • NPI 1801298724
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1740484286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143241",
            "telephone_number": "503-235-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143214",
            "telephone_number": "503-235-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNOCK",
        "first_name": "GARY",
        "middle_name": "D",
        "credential": "CADC I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Warner
• Scott Allan Warner
• Ty Warner
• Zachary Warner
• Mallory Jane Warning
• Gerald Lloyd Warnock, MD
• Robert H. Warnock, MD
• Brent Steven Waroniecki, OTD, OTR/L
• Bryan Warren II, LMT#26532
• Chelsea Warren, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.