FM Gilman, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FM GILMAN, LLC

Practice address

2205 Gilman Dr
Oregon City, OR 97045-1563

Phone

(503) 657-5700

Fax

(503) 657-1183

NPI assigned

Jun 18, 2020

Organization subpart

No

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

Authorized official

Name

Gregory Roderick

Title

Member

Phone

(503) 443-1818

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gilman Park Assisted Living Residence Doing business as

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1922624600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 SW BRIDGEPORT RD STE 105",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972247790",
            "telephone_number": "503-597-4906",
            "fax_number": "503-443-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 GILMAN DR",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451563",
            "telephone_number": "503-657-5700",
            "fax_number": "503-657-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FM GILMAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "RODERICK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-443-1818"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524332",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilman Park Assisted Living Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Fletcher, LPC
• Phyllis Fay Flowers, RN ANP
• Lindsey Floyd, DMD, MS
• Gina Fluharty, LMT, LMP
• FM
• Michelle Foley
• Royce Leon Fonken, MD
• Ariel M Ford, B.S., QMHA
• Katherine Ford
• Forever Yang LLC

• Assisted Living Facility in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.