Active NPI
Emily Rose Gallagher, MD
- Pediatrics Physician
- Portland, OR
National Provider Identifier
1780874610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ML20008920
- Practice address
- 3181 SW Sam Jackson Park Blvd
Ohsu, Department of Pediatrics
Portland, OR 97239 - Phone
- (503) 494-6513
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ML20008920 | WA | Primary |
Addresses
Primary practice location
3181 SW Sam Jackson Park Blvd
Ohsu, Department of Pediatrics
Portland, OR 97239
Mailing address
3181 SW Sam Jackson Park Blvd
Ohsu, Department of Pediatrics
Portland, OR 97239
Phone (503) 494-6513
Other names 1
- Emily Rose Borod
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML20008920 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Association of CHMC and University Physicians | Pediatrics | Current | Accepting new patients |
| The Association of Chrmc and University Physicians | Pediatrics | Current | Accepting new patients |
| Seattle Children'S Hospital | Past | Accepting new patients |
Locations
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
Interoperability endpoints
- egallagher35935@direct.seattlechildrens.org
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
-
- Children's Hospital
- Seattle, WA
- NPI 1467536276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312502400000",
"number": "1780874610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK BLVD",
"address_2": "OHSU, DEPARTMENT OF PEDIATRICS",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-6513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK BLVD",
"address_2": "OHSU, DEPARTMENT OF PEDIATRICS",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "EMILY",
"middle_name": "ROSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2011-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "ML20008920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "BOROD",
"middle_name": "ROSE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.