Individual provider Active NPI

Frank G. Gilliam Jr., M.D.

  • Neurology Physician
  • Clackamas, OR
National Provider Identifier
1912074162
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
S7221 Issued in TX
Practice address
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone
(956) 296-4000
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD223743 OR
Neurology Physician 2084N0400X 29311 KY
Neurology Physician 2084N0400X S7221 TX Primary

Addresses

Primary practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Mailing address

500 NE Multnomah St
Portland, OR 97232-2023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AK, WA, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20160713002147 KY Practitioner - Neurology 4486697398 Reassigns benefits to 1 organization
I20231012003412 AK Practitioner - Neurology 4486697398 Reassigns benefits to 1 organization
I20250618003226 WA Practitioner - Neurology 4486697398 Reassigns benefits to 1 organization
I20250703003274 OR Practitioner - Neurology 4486697398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Louisville School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD223743ORMDNeurology Physician
S7221TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc Neurology CurrentSince May 27, 2016 Accepting new patients
Independence Healthcare PC CurrentSince Sep 1, 2023 Accepting new patients
Independence Healthcare PC CurrentSince Sep 1, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 5, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 5, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 5, 2025 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
The University of Texas Rio Grande Valley PastSince Sep 1, 2020 Accepting new patients
Weill Medical College of Cornell Neurology Past Accepting new patients
Trustees of Columbia University in the City of New York Neurology Past Accepting new patients

Locations

130 S Willow St
Ste 1
Kenai, AK 99611
Phone (907) 262-2596

291 N Fireweed St
Soldotna, AK 99669
Phone (907) 262-6454

289 N Fireweed St
Ste B
Soldotna, AK 99669
Phone (907) 420-3540

289 N Fireweed St
Ste D
Soldotna, AK 99669
Phone (907) 262-6454

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

500 NE Multnomah St
Fl 11
Portland, OR 97232

500 NE Multnomah St
Portland, OR 97232
Phone (503) 813-4939

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 11

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1912074162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 NE MULTNOMAH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10180 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970158970",
            "telephone_number": "956-296-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "FRANK",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD223743",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "29311",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "S7221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

Verify at the official NPI Registry.