JESSAMINE MICHELLE MAIBEN (NPI# 1083709950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083709950 |
| Entity Type | Individual |
| Full Name | JESSAMINE MICHELLE MAIBEN |
| Practice Address |
19400 Nw Evergreen Pkwy Hillsboro OR 97124-7031 |
| Mailing Address |
906 Crestview Dr Newberg OR 97132-1239 |
| Practice Telephone | 5036905005 |
| Mailing Telephone | 5032671347 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
Eye and Vision Services Providers |
| Street Address |
19400 NW EVERGREEN PKWY |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97124-7031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659339737 | Rebecca May Baird | Pediatrics | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2006-05-01 |
| 1619501350 | Forrest Kwong | Student in an Organized Health Care Education/Training Program | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2020-03-02 |
| 1245781319 | Kaiser Foundation Health Plan of The Northwest | General Practice | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2016-10-24 |
| 1396100459 | Megan Wilson | Nurse Practitioner | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124 | 2015-12-16 |
| 1982040960 | Lisa A Leavitt | Internal Medicine | 19400 Nw Evergreen Pkwy, Suite 1, Hillsboro, OR 97124-7031 | 2013-05-16 |
| 1225350713 | Bonnie Ng | Pharmacist | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2010-02-24 |
| 1285874933 | Mary Calderon | Social Worker | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2009-02-20 |
| 1457505422 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2008-11-04 |
| 1053569764 | Shelley Sobel | Social Worker | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2008-09-05 |
| 1053575241 | Danielle Lorraine Gessford | Dietitian, Registered | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2008-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538705322 | Pamela Anne Martin | Registered Nurse | 2875 Nw Stucki Pl, Hillsboro, OR 97124 | 2019-11-27 |
| 1912548892 | Donnia Mae Schwarz | Behavior Technician | 5121 Ne Elam Young Pkwy, Hillsboro, OR 97124 | 2019-10-02 |
| 1609305036 | Catherine Lydon | Registered Nurse | 18650 Nw Cornell Road Suite 220, Hillsboro, OR 97124 | 2017-06-08 |
| 1376092163 | Michael Han | Pharmacist | 2875 Nw Stucki Avenue/, Hillsboro, OR 97124 | 2016-09-22 |
| 1760868459 | Voices Set Free | Community/Behavioral Health | 254 North 1st Ave., Hillsboro, OR 97124 | 2015-08-04 |
| 1871980151 | Kevin Kar Fai Cheng | Dentist | 7206 Ne Cornell Rd, Hillsboro, OR 97124 | 2015-04-23 |
| 1336530047 | Maegan Lee Mcglone | Behavioral Analyst | 5801 Ne Cornelius Pass Rd, Hillsboro, OR 97124 | 2015-02-17 |
| 1588095772 | Hillsboro Modern Dentistry, PC | Dentist | 2790 Nw 188th Avenue, Suite A, Hillsboro, OR 97124 | 2013-12-12 |
| 1275977043 | Dana Hazell | Massage Therapist | 5035 Ne Elam Young Parkway, Suite 500, Hillsboro, OR 97124 | 2013-04-24 |
| 1679816771 | Candice May Doyle | Massage Therapist | 5215 Ne Elam Young Park Way, Suite A, Hillsboro, OR 97124 | 2013-03-27 |
| Find all providers in zip 97124 | ||||
| Taxonomy Code | 156FC0800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Contact Lens |
| An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134214166 | Janet L Leino | Technician/Technologist | 19400 Nw Evergreen Pkwy, Hillsboro, OR 97124-7031 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942473277 | Janelle Marla Oliger-graham | Technician/Technologist | 3401 College Loop Se, Albany, OR 97322 | 2008-04-08 |
| 1578650149 | Tibitha Jane Johnston | Technician/Technologist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2006-10-06 |
| 1437241825 | Robert Oun | Technician/Technologist | 19500 Se Stark St, Portland, OR 97233-5757 | 2006-09-29 |
| 1578655882 | Kristi L Wolf | Technician/Technologist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2006-09-28 |
| 1760574925 | Lynda N Eichelberg | Technician/Technologist | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2006-09-28 |
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| 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.