JORDAN FUKUMOTO (NPI# 1457871493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457871493 |
| Entity Type | Individual |
| Full Name | JORDAN FUKUMOTO |
| Practice Address |
2621 Ne 134th St Vancouver WA 98686 |
| Mailing Address |
2968 Nw Moda Way Apt 628 Hillsboro OR 97124-7022 |
| Practice Telephone | 3608593346 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2968 Nw Moda Way #628, Hillsboro, OR 97124 | 3608593346 |
| Street Address |
2621 NE 134TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356456909 | Deborah Marie Duboff | Counselor | 2621 Ne 134th St, Suite 340, Vancouver, WA 98686-3036 | 2006-08-21 |
| 1679008163 | Ellen Marie Standefer | Social Worker | 2621 Ne 134th St, Ste 340, Vancouver, WA 98686-3036 | 2017-04-22 |
| 1851835920 | Neurothryve | Psychologist | 2621 Ne 134th St, Suite 340, Vancouver, WA 98686-3036 | 2016-12-08 |
| 1942661905 | J. Hollar, Dmd, Pllc | Dentist | 2621 Ne 134th St, Suite 210, Vancouver, WA 98686-3036 | 2016-03-17 |
| 1528494143 | Brianna Yancey | Physical Therapist | 2621 Ne 134th St, Ste 310, Vancouver, WA 98686-3036 | 2013-09-16 |
| 1326473935 | Neil Smith | Psychologist | 2621 Ne 134th St, Suite 340, Vancouver, WA 98686-3036 | 2013-09-13 |
| 1477861508 | Right Price Dental | Dentist | 2621 Ne 134th St, Suite 300, Vancouver, WA 98686-3036 | 2010-09-23 |
| 1154647329 | Proactive Physical Therapy -salmon Creek | Clinic/Center | 2621 Ne 134th St, Suite 310, Vancouver, WA 98686-3036 | 2010-04-13 |
| 1205083938 | Jill Fancher | Psychologist | 2621 Ne 134th St, Ste 340, Vancouver, WA 98686-3036 | 2008-08-25 |
| 1386809960 | Laura Smith | Psychologist | 2621 Ne 134th St, Suite 340, Vancouver, WA 98686-3036 | 2008-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285295170 | Sarah Tiffany | Physical Therapist | 900 Ne 139th St Ste 102, Vancouver, WA 98685-2519 | 2019-06-22 |
| 1861841702 | Jocelyn Deborah Riordan | Physical Therapist | 6700 Ne 162nd Ave, #411, Vancouver, WA 98682-3858 | 2016-06-10 |
| 1558761460 | Michael K Hirata | Physical Therapist | 200 Ne Mother Joseph Pl Ste 100, Vancouver, WA 98664-3292 | 2014-08-27 |
| 1891944815 | Krista Marie Ernsdorf | Physical Therapist | 1700 Broadway St, Suite 101, Vancouver, WA 98663-3455 | 2008-09-15 |
| 1114103090 | Kristin J Kjensrud | Physical Therapist | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2008-01-10 |
| 1447448139 | Brian K Gehley | Physical Therapist | 200 Ne Mother Joseph Pl, Suite 100, Vancouver, WA 98664-3299 | 2007-10-09 |
| 1336343789 | Forward Motion Physical Therapy LLC | Physical Therapist | 1701 E Evergreen Blvd, Suite B, Vancouver, WA 98661-4232 | 2007-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1508475674 | Gretchen Stein | Physical Therapist | 17792 147th St Se # 1030, Monroe, WA 98272-1030 | 2020-07-24 |
| 1194358713 | Heather Salzer | Physical Therapist | 1610 Commercial Ave # 1-a, Anacortes, WA 98221-2275 | 2020-02-21 |
| 1851930721 | Arlene Mckinnon | Physical Therapist | 1506 14th St, Port Townsend, WA 98368-8502 | 2019-12-24 |
| 1457992273 | B3 Physical Therapy and Wellness, Pllc | Physical Therapist | 14510 49th Dr Se, Everett, WA 98208-8975 | 2019-10-02 |
| 1154883601 | Mariah Joy Tank | Physical Therapist | 5410 California Ave Sw # 101, Seattle, WA 98136-1562 | 2019-04-03 |
| 1912464918 | Coty Lee Thomas | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2019-02-26 |
| 1366925075 | Michael Westbrooks | Physical Therapist | 1445 Nw Mall St, Issaquah, WA 98027-7900 | 2018-09-09 |
| 1295244887 | Gregory Lloyd | Physical Therapist | 1407 E 72nd St Ste A100, Tacoma, WA 98404-5906 | 2017-09-26 |
| 1457878035 | Sumner Specialized Physical Therapy, Pllc | Physical Therapist | 212 W Birch Ave, Colville, WA 99114-2440 | 2017-08-24 |
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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.