JACQUELINE ELIZABETH BROWN


Address: 2450 Sw Perkins Ave, Pendleton, OR 97801
Phone: 5412761700

JACQUELINE ELIZABETH BROWN (NPI# 1417390949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417390949
Entity Type Individual
Full Name JACQUELINE ELIZABETH BROWN
Other Name JACQUELINE ELIZABETH HERMAN
Credential PA
Practice Address 2450 Sw Perkins Ave
Pendleton
OR 97801
Mailing Address 2450 Sw Perkins Ave
Pendleton
OR 97801-4302
Practice Telephone 5412761700
Practice Fax Number 5412766327
Mailing Telephone 5412761700
Mailing Fax Number 5412766327
Enumeration Date 2013-04-15
Last Update Date 2018-09-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA170722 OR Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
112 Nw Johns Ln, Pendleton, OR 978011455 5413101164

Other Providers JACQUELINE BROWN

NPI Name Taxonomy Address Enumeration
1710599006 Jacqueline Wickline Brown Technician 519 Fort Spring Pike, Ronceverte, WV 24970-8093 2020-08-19
1972130078 Jacqueline Leigh Brown Nurse Practitioner 904 Holiday Dr Ste 402, Forrest City, AR 72335-9157 2020-03-26
1396389763 Jacqueline Marie Brown Speech-Language Pathologist 1207 N 152nd St Ste A, Shoreline, WA 98133-6247 2019-10-29
1801398573 Jacqueline Brown Registered Nurse 3580 Sowles Rd Apt 318, Hamburg, NY 14075-2612 2018-03-08
1871017814 Jacqueline Diana Brown Counselor 7405 Metropolitan Ave Apt 2f, Middle Village, NY 11379-2636 2017-08-01
1760905772 Jacqueline Brown Technician 5212 C St Se, Washington, DC 20019-6311 2017-07-21
1326592767 Jacqueline Lee Brown Speech-Language Pathologist 30 N 1st E, Driggs, ID 83422-5219 2016-08-14
1902201585 Jacqueline Brown Registered Nurse 1203 Jackson St, Marinette, WI 54143-2014 2014-10-25
1093125825 Jacqueline Florence Brown Licensed Practical Nurse 56 S 11th Ave, Mount Vernon, NY 10550-2909 2014-05-01
1922425362 Jacqueline Brown Nurse Practitioner 529 Penn Ave, Drexel Hill, PA 19026-1414 2014-03-24

Office Location

Street Address 2450 SW PERKINS AVE
City PENDLETON
State OR
Zip Code 97801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104846351 Robert G Johnson Jr. Family Medicine 2450 Sw Perkins Ave, Pendleton, OR 97801 2006-07-20
1508416785 Mark Christopher Martindale Physician Assistant 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2019-09-18
1992352892 Meredith Cooper Dahle Physician Assistant 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2019-08-25
1013409135 Miriam Moriah Drummond Physician Assistant 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2018-06-04
1386145993 Praxis Medical Group, Inc. Clinic/Center 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2018-02-28
1104170489 Chloe Kay Norris Physician Assistant 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2012-11-07
1669745469 Danielle Kathryn Addleman Physician Assistant 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2012-02-10
1245568864 Heidi A Tate Physician Assistant 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2009-11-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720637119 Yvonne Walker Technician 821 Se 9th St, Pendleton, OR 97801 2019-09-09
1083262703 Praxis Medical Group Inc Family Medicine 2450 Sw Perkins Avenue, Pendleton, OR 97801 2019-08-27
1255826012 Cosmas Chukwuemeka Nwerem Jr. Pharmacist 1900 Sw Court Place, Pendleton, OR 97801 2018-06-25
1689166811 Helene Danielle Kuhn Counselor 4700 Nw Pioneer Pl, Pendleton, OR 97801 2018-06-04
1801302849 Shawna L. All Massage Therapist 24 Se Emigrant Ave., Pendleton, OR 97801 2017-12-27
1033649256 Sean Collins Pharmacist 203 Sw 20th St, Pendleton, OR 97801 2017-06-20
1073974796 Channon M Baker Peer Specialist 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 2016-03-08
1689034357 Carre Biegel Counselor 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 2016-02-24
1073995429 Jessica Suzanne Pedersen Massage Therapist 812 Nw 12th St, Pendleton, OR 97801 2015-06-22
1861736373 Christina Northern Northerhn Social Worker 331 Se 2nd Street, Pendleton, OR 97801 2012-11-21
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992352892 Meredith Cooper Dahle Physician Assistant 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2019-08-25
1013409135 Miriam Moriah Drummond Physician Assistant 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2018-06-04
1588042063 Elizabeth Sieders Physician Assistant 46314 Timine Way, Pendleton, OR 97801 2015-05-15
1104170489 Chloe Kay Norris Physician Assistant 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2012-11-07
1669745469 Danielle Kathryn Addleman Physician Assistant 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2012-02-10
1245568864 Heidi A Tate Physician Assistant 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 2009-11-19
1477799500 Kristin Kimmel Schmidtgall Physician Assistant 3207 Sw Perkins Ave, Pendleton, OR 97801-4465 2008-12-18
1538189782 Linda Harries Physician Assistant 1600 Se Court Pl, Suite 201, Pendleton, OR 97801-3281 2006-07-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801495569 Lynsie Wolfe Physician Assistant 3000 Bryant Williams Dr Ste 200, Klamath Falls, OR 97601-1140 2020-10-22
1548867856 Megan Elaine Stewart Physician Assistant 3773 Pinetop Dr, Medford, OR 97504-9638 2020-10-08
1639786411 Bridget Meade-sentosun Physician Assistant 2599 Ne Overlook Dr Apt 815, Hillsboro, OR 97124-7613 2020-09-25
1518570738 Samantha Larelle Williamson Physician Assistant 1551 2nd St, Umatilla, OR 97882-9707 2020-08-27
1356951891 Eric James Humphrey Physician Assistant 1055 Ne Creeksedge Dr, Hillsboro, OR 97124-1316 2020-08-07
1427676493 Lindsey Louise Peterson Physician Assistant 3505 N Williams Ave, Portland, OR 97227-1437 2020-07-07
1871110361 Dana Sierra Jackson Physician Assistant 370 Ne Garner St, Prineville, OR 97754-2039 2020-06-30
1518584036 Abigail Nichole Dumont Physician Assistant 6064 Sw 30th Ave, Portland, OR 97239-1018 2020-06-30
1831712280 Joshua Sprague Physician Assistant 6501 Ne Cherry Dr Apt 1112, Hillsboro, OR 97124-7711 2020-05-20
1376165134 Emily Axelrod Physician Assistant 19648 Wildwood Dr, West Linn, OR 97068-2210 2020-05-14
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Competitor

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City PENDLETON
Zip Code 97801

Improve Information

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Dataset Information

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.

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