Individual provider Active NPI

Gabriel Nwannebuike Obu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hillsboro, OR
National Provider Identifier
1831749720
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10019946 Issued in OR
Practice address
535 SE Washington St
Hillsboro, OR 97123-4142
Phone
(503) 755-6703
Fax
(503) 755-6704
NPI assigned
Sep 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10019946 OR Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 70473 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1089146 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC005902 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 296197 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61378181 WA

Addresses

Primary practice location

535 SE Washington St
Hillsboro, OR 97123-4142

Mailing address

100 N Howard St
Spokane, WA 99201-0508
Phone (832) 945-1414

Other practice location 1

395 SW Bluff Dr Ste 10
Bend, OR 97702-1670
Phone (503) 755-6703

Other practice location 2

1301 York Rd Ste 800
Lutherville, MD 21093-6011
Phone (832) 945-1414

Other identifiers 5

IdentifierTypeStateIssuer
AP61378181OtherWAPSYCHIATRIC NURSE PRACTITIONER
70473OtherNMPSYCHIATRIC NURSE PRACTITIONER
296197OtherAZPSYCHIATRIC NURSE PRACTITIONER
1089146OtherTXPSYCHIATRIC NURSE PRACTITIONER
AC005902OtherMDPSYCHIATRIC NURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, NM, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230803003512 WA Practitioner - Nurse Practitioner 6507227774 Reassigns benefits to 1 organization
I20241108002709 OR Practitioner - Nurse Practitioner 6507227774 Reassigns benefits to 2 organizations
I20250710001882 NM Practitioner - Nurse Practitioner 6507227774 Reassigns benefits to 1 organization
I20250731004176 TX Practitioner - Nurse Practitioner 6507227774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

11740 SW 68TH Pkwy
Suite 200
Tigard, OR 97223-9058
Phone (971) 352-6984

6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
296197AZMDPsychiatric/Mental Health Nurse Practitioner
AC005902MDMDPsychiatric/Mental Health Nurse Practitioner
70473NMMDPsychiatric/Mental Health Nurse Practitioner
10019946ORMDPsychiatric/Mental Health Nurse Practitioner
AP61378181WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Healing Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients
McArthur Gruff & Associates LLC Psychiatric/Mental Health CurrentSince Sep 5, 2024 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Jul 6, 2023 Accepting new patients
Holistic Healing Psychiatry, PLLC Psychiatric/Mental Health Past Accepting new patients
Holistic Healing Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

1846 E Innovation Park Dr
Oro Valley, AZ 85755
Phone (520) 329-2699

7426 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 771-0555

500 4th St NW
Ste 102
Albuquerque, NM 87102
Phone (505) 356-7650

395 SW Bluff Dr
Ste 10
Bend, OR 97702
Phone (503) 755-6703

535 SE Washington St
Hillsboro, OR 97123
Phone (503) 755-6703

5440 SW Westgate Dr
Ste 350
Portland, OR 97221
Phone (503) 292-1100

11740 SW 68th Pkwy
Ste 200
Tigard, OR 97223
Phone (425) 477-4216

2401 Fountain View Dr
Ste 464
Houston, TX 77057
Phone (425) 800-6454

5614 W Grand Pkwy S
Ste 102
Richmond, TX 77406
Phone (832) 400-1002

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1831749720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N HOWARD ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010508",
            "telephone_number": "832-945-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SE WASHINGTON ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234142",
            "telephone_number": "503-755-6703",
            "fax_number": "503-755-6704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 SW Bluff Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021670",
            "country_code": "US",
            "telephone_number": "503-755-6703",
            "fax_number": "503-755-6704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 York Rd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Lutherville",
            "state": "MD",
            "postal_code": "210936011",
            "country_code": "US",
            "telephone_number": "832-945-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBU",
        "first_name": "GABRIEL",
        "middle_name": "NWANNEBUIKE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-13",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10019946",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "70473",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1089146",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC005902",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "296197",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61378181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIC NURSE PRACTITIONER",
            "identifier": "AP61378181",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIC NURSE PRACTITIONER",
            "identifier": "70473",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIC NURSE PRACTITIONER",
            "identifier": "296197",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIC NURSE PRACTITIONER",
            "identifier": "1089146",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHIATRIC NURSE PRACTITIONER",
            "identifier": "AC005902",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.