JOAN JACKSON CAVAN


Address: 86595 N Modesto Dr, Eugene, OR 97402-9045
Phone: 5413423889

JOAN JACKSON CAVAN (NPI# 1588981096) 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) 1588981096
Entity Type Individual
Full Name JOAN JACKSON CAVAN
Credential RN
Practice Address 86595 N Modesto Dr
Eugene
OR 97402-9045
Practice Telephone 5413423889
Mailing Telephone 5413423889
Enumeration Date 2010-04-23
Last Update Date 2010-04-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
00-035563 OR Ambulatory Health Care Facilities

Office Location

Street Address 86595 N MODESTO DR
City EUGENE
State OR
Zip Code 97402-9045

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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1376546291 Willamette Family, Inc Clinic/Center 687 Cheshire Ave, Eugene, OR 97402-5060 2005-05-24

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1346850500 Opportunity Connections, Inc. Clinic/Center 1102 12th St, Hood River, OR 97031-1602 2020-08-03
1750827184 Elizabeth Villagrana Clinic/Center 32753 E Delaney St, Coburg, OR 97408-9265 2017-01-09
1811339666 Oregon Health & Science University Clinic/Center 2952 Ne 34th Ave, Portland, OR 97212-2705 2013-07-22
1316268220 Ruthie Faye Berrell Clinic/Center 1640 G Street, Springfield, OR 97477 2010-06-15
1639316193 La Pine Community Health Center Clinic/Center 51600 Huntington Road, Suite C, La Pine, OR 97739-0001 2009-01-20
1124534185 Columbiacare Services Inc Clinic/Center 2345 Marion St, North Bend, OR 97459-2637 2017-12-28
1457897548 Lukedorf Clinic/Center 8915 Sw Center St, Tigard, OR 97223-6307 2017-01-12
1427594977 Coast Community Health Clinic Clinic/Center 1010 1st St Se, Bandon, OR 97411-9301 2017-01-09
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Competitor

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City EUGENE
Zip Code 97402

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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