JENNIFER KAY BANE


Address: 511 Sw 10th Ave, Suite 1301, Portland, OR 97205-2732
Phone: 5032280155

JENNIFER KAY BANE (NPI# 1033437298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033437298
Entity Type Individual
Full Name JENNIFER KAY BANE
Credential PA-C
Practice Address 511 Sw 10th Ave
Suite 1301
Portland
OR 97205-2732
Mailing Address 511 Sw 10th Ave Ste 1301
Portland
OR 97205-2714
Practice Telephone 5032280155
Practice Fax Number 5032268342
Mailing Telephone 5032280155
Mailing Fax Number 5032268342
Enumeration Date 2010-05-12
Last Update Date 2019-12-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207K00000X Allergy & Immunology PA173635 OR Allopathic & Osteopathic Physicians
Y 363AM0700X Physician Assistant
Specialization: Medical
173635 OR Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
PA10004564 WA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 2010430 05

Office Location

Street Address 511 SW 10TH AVE
SUITE 1301
City PORTLAND
State OR
Zip Code 97205-2732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336146307 Michael Charles Royse Dentist 511 Sw 10th Ave, Suite #810, Portland, OR 97205-2732 2005-07-05
1861049835 Jennifer Larson Counselor 511 Sw 10th Ave, Portland, OR 97205-2732 2019-08-23
1720528235 Jessica Lyn Collins Massage Therapist 511 Sw 10th Ave, Suite 610, Portland, OR 97205-2732 2017-03-02
1205378858 Lilyan Charlotte Russel Smith-moore Counselor 511 Sw 10th Ave, #601, Portland, OR 97205-2732 2016-11-14
1184073496 Julia Richfield Specialist 511 Sw 10th Ave, 1108, Portland, OR 97205-2732 2016-06-07
1821463050 Fox Kids Dentistry & Orthodontics Dentist 511 Sw 10th Ave, Suite 810, Portland, OR 97205-2732 2015-12-14
1477927580 Jacquelin Perry Massage Therapist 511 Sw 10th Ave, Ste 610, Portland, OR 97205-2732 2015-12-01
1912382078 Dana Fox Dentist 511 Sw 10th Ave, Ste 810, Portland, OR 97205-2732 2015-07-29
1336524206 Drew Barrios Specialist 511 Sw 10th Ave, Suite 1108, Portland, OR 97205-2732 2015-07-21
1891179875 Jessica Mintie Kloenne Dentist 511 Sw 10th Ave, Ste 804, Portland, OR 97205-2732 2015-07-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871026062 Leila Soltani Dentist 430 Sw 13th Ave Apt 2010, Portland, OR 97205 2017-04-05
1114374949 Elizabeth Alire Counselor 1411 Sw Morrison St., Portland, OR 97205 2016-05-23
1508237462 Pacific Psychology and Comprehensive Health Center Community/Behavioral Health 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 2015-10-16
1265803761 Alana Branson Naturopath 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 2015-10-10
1720458011 Kate Ohene Counselor 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 2015-09-30
1285004671 Christina Nannette Mendoza Counselor 1411 Sw Morriston Street, 310, Portland, OR 97205 2015-09-29
1083095947 Patricia Burton Registered Nurse 1312 Sw Washinghton, Portland, OR 97205 2015-06-16
1649663071 Huey Holistic Clinic/Center 1221 Sw Yamill, Suite 300, Portland, OR 97205 2015-03-10
1376952796 Joan Kendall Ayala Counselor 610 Sw Alder St Ste 915, Portland, OR 97205 2014-08-11
1316356165 Satheara Sin Massage Therapist 1033 Sw Yamhill St. #403, Portland, OR 97205 2014-08-06
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073081428 Ishah Marie Price Physician Assistant 30 Preble St Apt 663, Portland, ME 04101-4939 2018-11-04
1740797166 Joseph Something Physician Assistant 4800 Sw 76th Ave, Portland, OR 97225-1804 2018-01-08
1235687013 Satchel Harry Physician Assistant 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 2016-09-21
1922551910 Ashley Crowell Physician Assistant 949 Nw Overton St Unit 306, Portland, OR 97209 2016-07-26
1871982975 Colin Storz Physician Assistant 3623 N Borthwick Ave, Portland, OR 97227-1218 2015-01-13
1275888729 Stephanie Calvin Physician Assistant 782 College St, Portland, TN 37148-2120 2012-07-20
1174800031 Carolyn Frances Farrell Physician Assistant 450 N Graham St, Portland, OR 97227-1682 2011-11-07
1316130198 Ronald W Kessler Physician Assistant 632 Brighton Ave, Portland, ME 04102-1017 2007-08-24
1124210778 Honey E.l. Marques Physician Assistant 16279 Se Division St, Portland, OR 97236-1971 2007-08-16
1124177902 Dmitriy Shore Physician Assistant 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 2007-01-09
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Competitor

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City PORTLAND
Zip Code 97205

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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