JENNA CLOWERS (NPI# 1316339229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316339229 |
| Entity Type | Individual |
| Full Name | JENNA CLOWERS |
| Credential | PA-C |
| Practice Address |
10201 Se Main St Suite 9 Portland OR 97216-2937 |
| Practice Telephone | 5032524325 |
| Practice Fax Number | 5032616789 |
| Mailing Telephone | 5032524325 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2016-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA179811 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
10201 SE MAIN ST SUITE 9 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757452 | Samuel Albert Camacho | Internal Medicine | 10201 Se Main St, Suite 10, Portland, OR 97216-2937 | 2005-08-17 |
| 1861700130 | Northwest Renal Clinic, Inc. | Internal Medicine | 10201 Se Main St, Suite 27, Portland, OR 97216-2937 | 2010-09-20 |
| 1881919348 | Macy Ann Martinson | Internal Medicine | 10201 Se Main St, Suite 27, Portland, OR 97216-2937 | 2010-03-28 |
| 1215261920 | Ninfa Johnson Neuser | Counselor | 10201 Se Main St, Ste 10, Portland, OR 97216-2937 | 2009-09-28 |
| 1881851368 | Aumyot Prongdong | Internal Medicine | 10201 Se Main St, Suite 27, Portland, OR 97216-2937 | 2008-05-21 |
| 1205958576 | Vanessa L Peterson | Internal Medicine | 10201 Se Main St, Portland Lung Clinic, Portland, OR 97216-2937 | 2007-04-05 |
| 1477617512 | Kevin Khaw | Internal Medicine | 10201 Se Main St, Suite 25, Portland, OR 97216-2937 | 2006-12-21 |
| 1912079500 | Leonard R Bertheau | Family Medicine | 10201 Se Main St, Suite 10, Portland, OR 97216-2937 | 2006-11-15 |
| 1043318405 | Jeffrey Aaron Komisarof | Internal Medicine | 10201 Se Main St, Suite 27, Portland, OR 97216-2937 | 2006-09-20 |
| 1326157462 | Kidney Care Inc | Internal Medicine | 10201 Se Main St, Suite 27, Portland, OR 97216-2937 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
| 1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
| 1336769637 | Molly Tanguay | Physician Assistant | 23 Bramhall St, Portland, ME 04102-3121 | 2020-04-16 |
| 1063040525 | Jessica Nursick | Physician Assistant | 26 Sand Hill Rd, Portland, CT 06480-1737 | 2020-03-31 |
| 1689217630 | Evan Eisher | Physician Assistant | 3809 Se Stephens St, Portland, OR 97214-5248 | 2019-10-22 |
| 1508407941 | Amie Bates | Physician Assistant | 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 | 2019-10-07 |
| 1558923326 | Mackenzie Graye Mcmillin | Physician Assistant | 1601 Congress St Ste 1, Portland, ME 04102-2145 | 2019-07-02 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
| 1306383930 | Rachel Lynn Witowski | Physician Assistant | 2124 Nw Hoyt St, Portland, OR 97210-3215 | 2017-01-20 |
| Find all providers in PORTLAND | ||||
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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.