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

Terena D Gimmillaro, DO

Individual provider Addiction Medicine (Family Medicine) Physician · NPI 1235574955

Terena D Gimmillaro, DO is a Family Practice in Portland, Oregon. Qualified in 2013, 13 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4805 NE Glisan St
Portland, OR 97213-2933
Phone: (503) 215-4860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16180 Se Sunnyside Rd, Happy Valley, OR 97015-6301 — (503) 582-4900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO173630 (OR)
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X · Licence DO173630 (OR)

Record details

NPI number1235574955
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 8, 2013
Last updated in NPPESOctober 14, 2020
Certification dateOctober 14, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesADDICTION MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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