Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Landau Gideonse, MD

Individual provider Family Medicine Physician · NPI 1639184146

Nicholas Landau Gideonse, MD is a Family Practice in Cottage Grove, Oregon. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1991, 35 years ago. Practices with Blue Mountain Hospital District, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
35
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone: (541) 767-5200
Fax: (541) 767-5310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3930 Se Division St, Portland, OR 97202-1643 — (503) 418-3900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD17811 (OR)

Record details

NPI number1639184146
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESOctober 14, 2024
Certification dateOctober 14, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1991 (35 years in practice)
Group practice Blue Mountain Hospital District — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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