MRS. JESSICA LYNN WEDLAKE (NPI# 1316350606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316350606 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA LYNN WEDLAKE |
| Other Name | MS. JESSICA DEVLAHOVICH |
| Credential | L.AC. |
| Practice Address |
8196 Sw Hall Blvd Ste 204 Beaverton OR 97008-6411 |
| Mailing Address |
11200 Sw Greenburg Rd. #43 Portland OR 97223-5390 |
| Practice Telephone | 5034091262 |
| Mailing Telephone | (503) 409-1262 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2017-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC174590 | OR | Other Service Providers |
| N | 171100000X | Acupuncturist | AC 15879 | CA | Other Service Providers |
| Street Address |
8196 SW HALL BLVD STE 204 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97008-6411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
| 1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
| 1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
| 1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
| 1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
| 1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
| 1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
| Find all providers in zip 97008 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184248726 | Chirocentric, LLC | Acupuncturist | 12620 Sw 3rd St Ste A, Beaverton, OR 97005-2775 | 2020-05-29 |
| 1184256596 | Tameka B Lim-velasco | Acupuncturist | 12670 Sw 3rd St Apt 2, Beaverton, OR 97005-2771 | 2020-02-04 |
| 1104375500 | Body Mechanix Acupuncture/massage | Acupuncturist | 9355 Sw Davies Rd, Beaverton, OR 97008-6766 | 2016-09-26 |
| 1366896367 | Kenny Jung | Acupuncturist | 4525 Sw 109th Ave, Beaverton, OR 97005-3022 | 2016-04-16 |
| 1356747323 | Abigail Ballaban | Acupuncturist | 12555 Sw 1st St., Sage Center, Beaverton, OR 97005 | 2014-11-18 |
| 1801226527 | Edward Ildoe Bae | Acupuncturist | 13755 Sw Farmington Rd, Beaverton, OR 97005-2603 | 2013-11-15 |
| 1457698102 | Rachel Nicole Johnson | Acupuncturist | 9989 Sw Nimbus Ave, Beaverton, OR 97008-7150 | 2013-01-14 |
| 1598001745 | Mill-e-moto | Acupuncturist | 4625 Sw Washington Ave, Beaverton, OR 97005-0529 | 2012-12-17 |
| 1770833634 | Pamela Patrice Lovall | Acupuncturist | 4590 Sw Watson Ave, Beaverton, OR 97005-0545 | 2012-09-18 |
| 1528332236 | Michael Balogh | Acupuncturist | 6225 Sw Wilson Ave, Beaverton, OR 97008-4461 | 2012-02-27 |
| Find all providers in BEAVERTON | ||||
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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.