HOLLY JEAN CORNWELL (NPI# 1508189317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508189317 |
| Entity Type | Individual |
| Full Name | HOLLY JEAN CORNWELL |
| Credential | RN |
| Practice Address |
501 N Graham St Suite 375 Portland OR 97227-1654 |
| Practice Telephone | 5034131600 |
| Practice Fax Number | 5034131915 |
| Mailing Telephone | 5034131600 |
| Mailing Fax Number | 5034131915 |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2014-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
200841070RN | OR | Nursing Service Providers |
| Street Address |
501 N GRAHAM ST SUITE 375 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869157 | Paula Deanne Dietsch Kuiper | Physician Assistant | 501 N Graham St, Suite 220, Portland, OR 97227-1654 | 2005-05-27 |
| 1811454432 | Matthew James Luttrell | Registered Nurse | 501 N Graham St, Portland, OR 97227-1654 | 2019-03-01 |
| 1831640267 | Morgan Sue Huey | Physician Assistant | 501 N Graham St, Suite 415, Portland, OR 97227-1654 | 2016-10-20 |
| 1093169583 | Theresa Mcsherry | Nurse Practitioner | 501 N Graham St, Suite 555, Portland, OR 97227-1654 | 2016-04-20 |
| 1093172702 | Jeremy Alper | Pharmacist | 501 N Graham St, Portland, OR 97227-1654 | 2016-01-26 |
| 1003287269 | Evergreen Prosthetics and Orthotics, LLC | Durable Medical Equipment & Medical Supplies | 501 N Graham St, Ste 255, Portland, OR 97227-1654 | 2015-10-14 |
| 1316321110 | Portland Ear, Nose & Throat Specialists | Specialist | 501 N Graham St, Suite 455, Portland, OR 97227-1654 | 2015-07-13 |
| 1942693908 | Leigh Warsing | Physician Assistant | 501 N Graham St, Suite 580, Portland, OR 97227-1654 | 2015-03-13 |
| 1134521909 | Justin Hadaller | Physician Assistant | 501 N Graham St, Suite 580, Portland, OR 97227-1654 | 2014-09-23 |
| 1932542503 | Erica T Ballard | Physician Assistant | 501 N Graham St, Ste 200, Portland, OR 97227-1654 | 2013-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386132033 | Shelly-anne Marie Baker | Registered Nurse | 4065 N Alaska St, Portland, OR 97203-2001 | 2018-04-27 |
| 1619481744 | Nan Isabel Fitz Gerald | Registered Nurse | 1040 Nw 22nd Ave Ste 540, Portland, OR 97210-3097 | 2017-11-28 |
| 1225558026 | Lolis Rocha | Registered Nurse | 3181 Sw Sam Jackson Park Rd # Ppv05, Portland, OR 97239-3011 | 2017-06-22 |
| 1811454432 | Matthew James Luttrell | Registered Nurse | 501 N Graham St, Portland, OR 97227-1654 | 2019-03-01 |
| 1053808287 | Patricia (trish) Ann Kirchhoff | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2018-04-13 |
| 1871975086 | Jessica Lori Lowery | Registered Nurse | 501 N Graham Street, Suite 375, Portland, OR 97227 | 2015-06-24 |
| 1154644565 | N Denise Hudson | Registered Nurse | 2800 N Vancouver Ave, Suite 231, Portland, OR 97227-1630 | 2010-03-12 |
| 1235452152 | Jason R Swenberger | Registered Nurse | 501 N Graham St, Suite 375, Portland, OR 97227-1654 | 2010-03-05 |
| 1932438066 | Sara Beth Hohn | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2009-12-21 |
| 1003059882 | Nanis Gilmore | Registered Nurse | 541 Ne 20th Ave, Suite 210, Portland, OR 97232-2862 | 2009-04-09 |
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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.