JEAN LANGKOW (NPI# 1245276492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245276492 |
| Entity Type | Individual |
| Full Name | JEAN LANGKOW |
| Credential | ANP |
| Practice Address |
1515 Village Dr Cottage Grove OR 97424-9700 |
| Mailing Address |
Po Box 24410 Eugene OR 97402-0451 |
| Practice Telephone | 5419426610 |
| Practice Fax Number | 5419426750 |
| Mailing Telephone | 5419844301 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
094006180N3 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 062463 | 05 |
| Street Address |
1515 VILLAGE DR |
| City | COTTAGE GROVE |
| State | OR |
| Zip Code | 97424-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972507952 | Paul J Steier | Family Medicine | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2005-06-08 |
| 1942781489 | Kimberly Rae Stober | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2018-08-23 |
| 1760961288 | Mckinley Marie Hutchison | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2018-08-07 |
| 1083064737 | Maria Jane Holder | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2016-06-14 |
| 1538538327 | Brandy Bump Zerby | Physician Assistant | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2015-09-22 |
| 1487044376 | Rebecca Mcbride | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2015-01-29 |
| 1023450715 | Peace Health | Non-Pharmacy Dispensing Site | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2013-07-23 |
| 1104266956 | Jonathan Rafael Javier Lazaro | Family Medicine | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2013-06-26 |
| 1043564586 | Ehsan Hazrat | Family Medicine | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2012-11-06 |
| 1477816908 | Julie Ann Alcantara Galinato | Family Medicine | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2012-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
| 1215420625 | Zachary Booth | Student in an Organized Health Care Education/Training Program | 28188 Cottage Grove Lorane Rd, Cottage Grove, OR 97424 | 2018-06-11 |
| 1124404090 | Eileen Nittler | Social Worker | 1345 Birch Avenue, Cottage Grove, OR 97424 | 2015-08-03 |
| 1851799787 | Kathryn Brooks | Licensed Practical Nurse | 520 Patrick Loop, Cottage Grove, OR 97424 | 2014-12-09 |
| 1558767814 | Michele Renee Savage | Orthotic Fitter | 148 Gateway Blvd, Cottage Grove, OR 97424 | 2014-11-14 |
| 1730598558 | John Mansfield | Pharmacist | 120 Andrew Drive, Cottage Grove, OR 97424 | 2014-08-06 |
| 1700213493 | Aspen Injury Center LLC | Chiropractor | 1260 East Main Street, Cottage Grove, OR 97424 | 2013-09-26 |
| 1609172956 | Megan Olds | Counselor | 37 South 6th Street, Cottage Grove, OR 97424 | 2011-02-03 |
| 1144530726 | Monica G Radley | Counselor | 1345 Birch Ave., Cottage Grove, OR 97424 | 2010-10-15 |
| Find all providers in zip 97424 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386860591 | Suzanne M. Snellen | Nurse Practitioner | 1515 Village Dr, Cottage Grove, OR 97424-9700 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| 1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
| 1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
| Find all providers with the same taxonomy | ||||
| City | COTTAGE GROVE |
| Zip Code | 97424 |
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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.