DIANA ELIZABETH GWINN DD1
NPI 1386122687
Custodial Care Facility - Adult Care Home in Portland, OR

Q: What is Diana Gwinn's NPI number?

The NPI number for Diana Gwinn is 1386122687. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Q: What is Diana Gwinn's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Diana Gwinn was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2018

16405 NE FARGO CIR, PORTLAND, OR 97230(503) 484-7287(503) 210-5974 Get Directions Write a Review

NPPES record last updated: July 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Diana Elizabeth Gwinn Dd1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA ELIZABETH GWINN DD1 (NPI 1386122687) is an individual adult care home provider in Portland, Oregon, licensed in Oregon (10465) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1386122687

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameDIANA ELIZABETH GWINNCredential: DD1

Location Address16405 NE FARGO CIRPortland, OR 97230-5513

Mailing Address16405 Ne Fargo CirPortland, OR 97230-5513 · (503) 484-7287 · Fax (503) 210-5974

Phone(503) 484-7287

Fax(503) 210-5974

Sole ProprietorYes

Enumeration DateJuly 30, 2018

✔ NPI 1386122687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in OR · 10465

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

16405 NE FARGO CIR, Portland, OR 97230

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Other Identifiers 1

Medicaid500745787OR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Gwinn's NPI number?

The NPI number for Diana Gwinn is 1386122687. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Diana Gwinn located?

Diana Gwinn practices at 16405 NE Fargo Cir, Portland, OR 97230. The listed phone number is (503) 484-7287.

What is Diana Gwinn's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Diana Gwinn was last updated on July 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.