DR. SETH HUNTINGTON JACKSON (NPI# 1356495527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356495527 |
| Entity Type | Individual |
| Full Name | DR. SETH HUNTINGTON JACKSON |
| Credential | MD |
| Practice Address |
511 Sw 10th Ave Suite 905 Portland OR 97205 |
| Practice Telephone | 5032243435 |
| Practice Fax Number | 5032954056 |
| Mailing Telephone | 5032243435 |
| Mailing Fax Number | 5032954056 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD10633 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1641505 | 05 | |
| OR | 043638 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811542327 | Seth Jackson | Behavior Technician | 201 Jackson St, Denver, CO 80206-5524 | 2019-08-02 |
| 1699703579 | Seth N Jackson | Social Worker | 815 S Ash St, Nevada, MO 64772-3222 | 2006-06-29 |
| Street Address |
511 SW 10TH AVE SUITE 905 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336146307 | Michael Charles Royse | Dentist | 511 Sw 10th Ave, Suite #810, Portland, OR 97205-2732 | 2005-07-05 |
| 1861049835 | Jennifer Larson | Counselor | 511 Sw 10th Ave, Portland, OR 97205-2732 | 2019-08-23 |
| 1720528235 | Jessica Lyn Collins | Massage Therapist | 511 Sw 10th Ave, Suite 610, Portland, OR 97205-2732 | 2017-03-02 |
| 1205378858 | Lilyan Charlotte Russel Smith-moore | Counselor | 511 Sw 10th Ave, #601, Portland, OR 97205-2732 | 2016-11-14 |
| 1184073496 | Julia Richfield | Specialist | 511 Sw 10th Ave, 1108, Portland, OR 97205-2732 | 2016-06-07 |
| 1821463050 | Fox Kids Dentistry & Orthodontics | Dentist | 511 Sw 10th Ave, Suite 810, Portland, OR 97205-2732 | 2015-12-14 |
| 1477927580 | Jacquelin Perry | Massage Therapist | 511 Sw 10th Ave, Ste 610, Portland, OR 97205-2732 | 2015-12-01 |
| 1912382078 | Dana Fox | Dentist | 511 Sw 10th Ave, Ste 810, Portland, OR 97205-2732 | 2015-07-29 |
| 1336524206 | Drew Barrios | Specialist | 511 Sw 10th Ave, Suite 1108, Portland, OR 97205-2732 | 2015-07-21 |
| 1891179875 | Jessica Mintie Kloenne | Dentist | 511 Sw 10th Ave, Ste 804, Portland, OR 97205-2732 | 2015-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1649775610 | Asma S. Ahmad, Md, LLC | Obstetrics & Gynecology | 4160 Sw Charming Way, Portland, OR 97225-2025 | 2018-03-29 |
| 1033323613 | Laila Raad Sillay | Obstetrics & Gynecology | 9555 Sw Barnes Rd Ste 360, Portland, OR 97225-6617 | 2007-05-10 |
| 1528181625 | Emily Christina Culbert | Obstetrics & Gynecology | 4626 Se Salmon St, Portland, OR 97215-2542 | 2007-04-06 |
| 1891831558 | Margaret J Schoeller | Obstetrics & Gynecology | 1355 Congress Street, Portland, ME 04102-2148 | 2007-01-29 |
| 1922174507 | Diana E Bell | Obstetrics & Gynecology | 9427 Sw Barnes Rd Ste 599, Portland, OR 97225-6652 | 2006-11-27 |
| 1801905534 | Virginia Jane Smith | Obstetrics & Gynecology | Kaiser Permanente Interstate Medical Office East, 3550 N Interstate Ave, Portland, OR 97227-1043 | 2006-08-29 |
| 1780697177 | Richard M Wong | Obstetrics & Gynecology | 1025 Nw Couch St Apt 612, Portland, OR 97209-4130 | 2006-08-15 |
| 1952330631 | Susan Johnson, Md LLC | Obstetrics & Gynecology | 2209 Lloyd Ctr, Portland, OR 97232-1315 | 2006-07-03 |
| 1922034115 | Laura A Korman | Obstetrics & Gynecology | 2250 Nw Flanders Street, Suite 205, Portland, OR 97210-5410 | 2006-06-23 |
| 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.