JENNIFER RANDOLPH (NPI# 1588221444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588221444 |
Entity Type | Individual |
Full Name | JENNIFER RANDOLPH |
Credential | CADC-II, CIP, CAI-II |
Practice Address |
10600 Se Mcloughlin Blvd Ste 207 Milwaukie OR 97222-7428 |
Practice Telephone | 8557700577 |
Practice Fax Number | 5036541852 |
Mailing Telephone | 8557700577 |
Mailing Fax Number | 5036541852 |
Enumeration Date | 2019-05-24 |
Last Update Date | 2019-05-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OR | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013314533 | Jennifer Lynn Randolph | Acupuncturist | 1047 Via Cordova, San Pedro, CA 90732-2302 | 2014-11-26 |
1306201991 | Jennifer Randolph | Behavioral Analyst | 6202 S Lewis Ave, Ste J, Tulsa, OK 74136-1099 | 2015-12-23 |
1942598602 | Jennifer Lee Randolph | Social Worker | 2540 Monroeville Blvd, Monroeville, PA 15146-2329 | 2011-07-15 |
1588956486 | Jennifer Michelle Randolph | Pharmacist | 600 Greece Ridge Center Dr, Target Pharmacy T-1194, Rochester, NY 14626-2825 | 2011-05-10 |
1558559393 | Jennifer Lynn Randolph | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2007-10-05 |
1326164898 | Jennifer T. Randolph | Counselor | 1129 11th St Nw, Washington, DC 20001-4354 | 2007-03-22 |
Street Address |
10600 SE MCLOUGHLIN BLVD STE 207 |
City | MILWAUKIE |
State | OR |
Zip Code | 97222-7428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225252612 | Benjamin D Randolph | Counselor | 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR 97222-7428 | 2007-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
Find all providers in zip 97222 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689158917 | Eric Hanneman | Counselor | 6769 Se Plum Dr, Milwaukie, OR 97222-2011 | 2018-09-22 |
1477062602 | Karie Marie Buss | Counselor | 2323 Se Harrison St Apt 41, Milwaukie, OR 97222-7584 | 2017-09-19 |
1538516307 | Brian Nelson | Counselor | 6902 Se Lake Rd Ste 300, Milwaukie, OR 97267-2148 | 2016-05-20 |
1235535097 | Collin Bryant Wright | Counselor | 17473 Se Walta Vista Dr, Milwaukie, OR 97267-5542 | 2014-11-06 |
1780996256 | Michael Joseph Pohl | Counselor | 14603 Se Woodland Way, Milwaukie, OR 97267-1339 | 2010-07-13 |
1720399413 | Barbara M Corkrean | Counselor | 16239 Se Mcloughlin Blvd Ste 208, Milwaukie, OR 97267-4654 | 2010-06-28 |
1225252612 | Benjamin D Randolph | Counselor | 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR 97222-7428 | 2007-04-13 |
1669519484 | Helen R Ware | Counselor | 9000 Se Mcbrod Ave, Milwaukie, OR 97222-7336 | 2007-01-31 |
1316084049 | Renee' Lorena Raschke | Counselor | 17070se Mcloughlin Blvd., Milwaukie, OR 97267 | 2007-01-31 |
1982770905 | Molly Gordon-schnacky | Counselor | 8627 Se 28th Pl, Milwaukie, OR 97222-6311 | 2006-11-28 |
Find all providers in MILWAUKIE |
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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.