Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Guadalupe Clementina Gabba, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063701126

Guadalupe Clementina Gabba, PMHNP-BC is a Nurse Practitioner in Portland, Oregon. Qualified in 2013, 13 years ago. Practices with Northwest IV LLC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2011
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

6400 SE Lake Rd Ste 155
Portland, OR 97222-2137
Phone: (971) 368-9292
Fax: (503) 917-4971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16100 Nw Cornell Rd Ste 190, Beaverton, OR 97006-8104 — (971) 358-9292

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 201391918NP-PP (OR)

Record details

NPI number1063701126
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 29, 2011
Last updated in NPPESFebruary 10, 2023
Certification dateFebruary 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Northwest Iv Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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