Gillespie, Andrea Hoogerland

Gillespie, Andrea Hoogerland is an individual health care provider with primary practice located at 2801 N Gantenbein Ave , Portland OR 97227-1623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Gillespie, Andrea Hoogerland can be contacted via phone (503) 276-9500.

Contact Information

Primary practice address
2801 N Gantenbein Ave Portland OR 97227-1623
Phone: (503) 276-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 49538 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD157827 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 44090 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 157827 Oregon

Profile Details

NPI number 1790736536
LBN Legal business name Gillespie, Andrea Hoogerland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Dec 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790736536 NPPES
Wisconsin MEDICAID 34464100
Wisconsin Other 008906261B

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