JULIANNE KLINGBERG DEFOREST (NPI# 1164863304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164863304 |
Entity Type | Individual |
Full Name | JULIANNE KLINGBERG DEFOREST |
Credential | BA, LMT, CIMT |
Practice Address |
786 S Main St Independence OR 97351-2310 |
Practice Telephone | 5035102256 |
Mailing Telephone | 5035102256 |
Enumeration Date | 2013-07-16 |
Last Update Date | 2013-07-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 7627 | OR | Other Service Providers |
Street Address |
786 S MAIN ST |
City | INDEPENDENCE |
State | OR |
Zip Code | 97351-2310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598868515 | Independence-monmouth Family Medicine PC | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
1821070111 | Kenneth R Winokur | Dentist | 329 South Main St, Independence, OR 97351 | 2005-11-14 |
1710044144 | Kenneth R Winokur Dmd PC | Dentist | 329 S Main St, Independence, OR 97351 | 2007-01-03 |
1407959422 | Keith Allen White | Family Medicine | 1430 Monmouth St, Independence, OR 97351 | 2006-09-06 |
1609901024 | Evan L Evans | Audiologist | 1343 A Monmouth St, Independence, OR 97351-0248 | 2007-02-23 |
1497703201 | Evergreen Oregon Healthcare Independence, L.L.C. | Skilled Nursing Facility | 1525 Monmouth St, Independence, OR 97351-1007 | 2006-05-04 |
1518127844 | David Patrick Mcdarby | Physical Therapist | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
1881854115 | Bobbi Jo Shrum | Physical Therapy Assistant | 1525 Monmouth St, Independence, OR 97351-1007 | 2008-06-10 |
1639426208 | Central School District 13j | Local Education Agency (LEA) | 1610 Monmouth St, Independence, OR 97351-1008 | 2012-08-13 |
1851645931 | Holli Watkin | Nurse Practitioner | 1601 Monmouth St Ste 100, Independence, OR 97351-1019 | 2012-10-29 |
Find all providers in zip 97351 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1548541782 | The Outlet Place for Women | Specialist | 1308 W Truman Rd, Independence, MO 64050-3433 | 2011-09-01 |
1669777215 | Jayme Anne Richerson | Specialist | 4202 Briarwood Dr, Independence, KY 41051-9512 | 2011-01-12 |
1609177864 | Charles R Genovese Jr Md Inc | Specialist | 312 E Rail Road Ave, Independence, LA 70443 | 2010-11-04 |
1609006329 | Gary Joseph Do, Inc. | Specialist | 4700 Rockside Rd, Suite 535, Independence, OH 44131-2155 | 2009-07-15 |
1073758983 | Carrie Robin Chadwick | Specialist | 10933 Griststone Cir, Independence, KY 41051-7596 | 2008-12-05 |
1255522009 | Midwest Neuroscience PC | Specialist | 17020 E 40 Hwy, Suite 8, Independence, MO 64055-5365 | 2007-08-07 |
1336355064 | Virendra C. Patel | Specialist | 921 W Myrtle St, Independence, KS 67301-3241 | 2007-05-16 |
1891900304 | Milo Marvin Farnham | Specialist | 14505 E 32nd Ter S, Independence, MO 64055-2512 | 2007-05-10 |
Find all providers in INDEPENDENCE |
City | INDEPENDENCE |
Zip Code | 97351 |
Please comment or provide details below to improve the information on JULIANNE KLINGBERG DEFOREST.
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.