GUADALUPE CLEMENTINA GABBA PMHNP-BC NPI 1063701126

NPI Information

NPI: 1063701126
Provider Name: GUADALUPE CLEMENTINA GABBA, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: ACTIVE RECOVERY TMS PLLC

PECOS Registration: Yes

Address:
9800 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015
Phone: (503) 513-7437
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Guadalupe Clementina Gabba, PMHNP-BC is a psychiatric/mental health nurse practitioner in Clackamas, OR with 11 years of experience. Guadalupe Clementina Gabba, PMHNP-BC NPI is 1063701126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9800 SE SUNNYSIDE RD
CLACKAMAS, OR
ZIP 97015-750
Phone: (503) 513-7437
Fax: (503) 331-6425

The NPI 1063701126 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 6/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201391918NP-PP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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