Active NPI
Gina Crystal James, LMT
- Specialist
- Portland, OR
National Provider Identifier
1811911845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7348
- Practice address
- 2538 NE Broadway St Ste C
Portland, OR 97232-1872 - Phone
- (503) 282-8600
- Fax
- (503) 287-0967
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 7348 | OR | Primary |
Addresses
Primary practice location
2538 NE Broadway St Ste C
Portland, OR 97232-1872
Mailing address
1832 NE Broadway St
Portland, OR 97232-1992
Phone (503) 282-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7348 | OR | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burstein-Rose PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Portland, OR
- NPI 1972917458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1811911845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1832 NE BROADWAY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321992",
"telephone_number": "503-282-8600",
"fax_number": "503-287-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2538 NE BROADWAY ST STE C",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321872",
"telephone_number": "503-282-8600",
"fax_number": "503-287-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "GINA",
"middle_name": "CRYSTAL",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "7348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.