JULIE ROSE JENNINGS (NPI# 1548464258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548464258 |
| Entity Type | Individual |
| Full Name | JULIE ROSE JENNINGS |
| Credential | EFDA |
| Practice Address |
11732 Se Malden Ct Portland OR 97266-8101 |
| Practice Telephone | 5037611713 |
| Mailing Telephone | 5037611713 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588164859 | Julie Renae Jennings | Nurse Practitioner | 4320 Wornall Rd Ste 50, Kansas City, MO 64111 | 2018-02-13 |
| 1689702714 | Julie R Jennings | Dental Hygienist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2007-03-01 |
| 1497838437 | Julie Zurlinden Jennings | Registered Nurse | 2155 Iron Point Rd, Folsom, CA 95630-8707 | 2006-10-23 |
| 1144237652 | Julie Adams Jennings | Psychologist | 120 W Nelson St, Lexington, VA 24450-2036 | 2006-08-01 |
| Street Address |
11732 SE MALDEN CT |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1992204697 | Sober Living Oregon Treatment Center | Clinic/Center | 10209 Se Division, Portland, OR 97266 | 2018-02-08 |
| 1699204024 | Malori Christine Butler | Registered Nurse | 7335 Se 85th Ave., Portland, OR 97266 | 2017-06-08 |
| 1487028882 | Emil Kunkel | Naturopath | 6318 Se 87th Ave, Portland, OR 97266 | 2015-11-23 |
| 1194195313 | Cory Hall-martin | Counselor | 10011 Se Division St #305, Portland, OR 97266 | 2015-09-30 |
| 1336517721 | Krispin Mayfield | Counselor | 10011 Se Division St., Suite 203, Portland, OR 97266 | 2015-09-02 |
| 1407247927 | Syrena Nicholson | Community Health Worker | 7721 Se 92nd Avenue, Apt K, Portland, OR 97266 | 2015-02-06 |
| 1659777886 | Berhanu Aynalem Mekbib | Adult Companion | 9125 Sw 55th, El Dorado, Portland, OR 97266 | 2014-11-17 |
| 1871930685 | Felicitas Amelia Penaloza | Behavioral Analyst | 9911 Se Mt.scott Boulevard, Portland, OR 97266 | 2013-06-03 |
| 1710237326 | Janna Renee Higgins | Case Manager/Care Coordinator | 9911 Se Mt. Scott Boulevard, Portland, OR 97266 | 2012-09-12 |
| Find all providers in zip 97266 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616970 | Miryam Gallardo | Dental Assistant | 216 Se 162nd Ave Apt 38, Portland, OR 97233-3839 | 2020-07-06 |
| 1366911521 | Falasteen Adel | Dental Assistant | 1346 Ne 134th Ave, Portland, OR 97230-3211 | 2018-11-16 |
| 1730449893 | Tammy Loraine Rongone | Dental Assistant | 822 N.e. 181st. Ave, Portland, OR 97230-6708 | 2012-05-23 |
| 1205101201 | Patrick Stevens Edwards | Dental Assistant | 8728 N Haven Ave, Portland, OR 97203-3426 | 2012-03-09 |
| 1750594164 | Christine Marie Hassing | Dental Assistant | 10102 Ne Glisan, Portland, OR 97220 | 2007-05-08 |
| 1598835423 | Alona Elizabeth Polecastro | Dental Assistant | 4512 Se Woodstock, Portland, OR 97206 | 2006-11-08 |
| 1285724021 | Rachael Annette Chambers | Dental Assistant | 7201 N Interstate, North Interstate Dental, Portland, OR 97217-5523 | 2006-10-13 |
| 1760584809 | Wanessa Chambers | Dental Assistant | 5319 Ne Killingsworth St, Portland, OR 97218-2400 | 2006-09-01 |
| 1407963127 | Christina A Robledo | Dental Assistant | North Interstate Dental, 7201 N Interstate, Portland, OR 97217-5523 | 2006-08-25 |
| 1144231879 | Azita Zadeh | Dental Assistant | 17803 Nw Deerfield Dr, Portland, OR 97229-1778 | 2006-08-10 |
| 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.