JACALYN GORDON (NPI# 1598294761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598294761 |
| Entity Type | Individual |
| Full Name | JACALYN GORDON |
| Practice Address |
323 E 6th St Port Angeles WA 98362-6203 |
| Mailing Address |
Po Box 868 Port Angeles WA 98362-0159 |
| Practice Telephone | 3604578355 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
00124844 | WA | Nursing Service Providers |
| Street Address |
323 E 6TH ST |
| City | PORT ANGELES |
| State | WA |
| Zip Code | 98362-6203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558899633 | Venita Lynn | Counselor | 323 E 6th St, Port Angeles, WA 98362-6203 | 2017-06-01 |
| 1366066359 | Helenmarie Wagoner | Registered Nurse | 323 E 6th St, Port Angeles, WA 98362-6203 | 2020-06-04 |
| 1285274720 | Tara Wheeldon | Case Manager/Care Coordinator | 323 E 6th St, Port Angeles, WA 98362-6203 | 2020-01-13 |
| 1538724109 | Hannah Raye Ruth Nelson | Registered Nurse | 323 E 6th St, Port Angeles, WA 98362-6203 | 2019-05-08 |
| 1285104554 | Tess Haggerty | Registered Nurse | 323 E 6th St, Port Angeles, WA 98362-6203 | 2018-11-29 |
| 1780151696 | Laura Lea Dotlich | Registered Nurse | 323 E 6th St, Port Angeles, WA 98362-6203 | 2018-10-29 |
| 1194215707 | Bryanne Stewart | Case Manager/Care Coordinator | 323 E 6th St, Port Angeles, WA 98362-6203 | 2018-05-18 |
| 1639690746 | Hailey Fox | Case Manager/Care Coordinator | 323 E 6th St, Port Angeles, WA 98362-6203 | 2017-06-28 |
| 1386173128 | Dorothy Lynn Frascati | Registered Nurse | 323 E 6th St, Port Angeles, WA 98362-6203 | 2017-06-06 |
| 1861921728 | Rebecca Larsen | Social Worker | 323 E 6th St, Port Angeles, WA 98362-6203 | 2017-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831735778 | Jayme Marie Williams | Technician | 518 S. Liberty St., Port Angeles, WA 98362 | 2019-11-26 |
| 1780229559 | Barbara Amsler Nutrition, Pllc | Dietitian, Registered | 320 E. 5th St., Port Angeles, WA 98362 | 2019-11-15 |
| 1902315005 | Barbara Amsler | Nutritionist | 116 S. Ennis St, Port Angeles, WA 98362 | 2017-09-21 |
| 1134659667 | Janet Li Hanson | Registered Nurse | 532 South Alder Lane, Port Angeles, WA 98362 | 2017-06-18 |
| 1790220192 | Monica Kay Henry | Massage Therapist | 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 | 2016-12-21 |
| 1124491725 | Gabrielle Carter | Naturopath | 1126 Columbia St, Port Angeles, WA 98362 | 2015-11-04 |
| 1912301185 | Danya Lyn Davis | Massage Therapist | 106 W. Lauridsen Blvd., Port Angeles, WA 98362 | 2014-10-17 |
| 1528470861 | Richard Dean Thorson | Orthopaedic Surgery | 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 | 2014-05-21 |
| 1780001743 | Dr Adam Cramer Pllc | Clinic/Center | 104 W. 3rd St, Port Angeles, WA 98362 | 2014-03-27 |
| 1588089189 | Melanie Mccaughan | Counselor | 933 E First St, Port Angeles, WA 98362 | 2014-02-19 |
| Find all providers in zip 98362 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643945 | Traci Sheets | Registered Nurse | 6605 W Argent Rd, Pasco, WA 99301-1905 | 2020-06-09 |
| 1639799562 | Shelli Ann Strickland | Registered Nurse | 6149 Gleneagle Ave Sw, Port Orchard, WA 98367-9182 | 2020-04-21 |
| 1346876364 | Helina Pokhrel | Registered Nurse | 14016 A St S # 581-7020, Tacoma, WA 98444-4662 | 2020-03-21 |
| 1275167413 | Nurse Works LLC. | Registered Nurse | 1421 N Laura Rd, Spokane Valley, WA 99212-2524 | 2020-02-26 |
| 1225687890 | Ioana Maria Hall | Registered Nurse | 11220 127th Ave Ne, Kirkland, WA 98033-4121 | 2019-09-06 |
| 1588218788 | Pauline E Martin | Registered Nurse | 2501 Ne 134th St Ste 200, Vancouver, WA 98686-3028 | 2019-07-26 |
| 1467017525 | Doris Maxine Nale | Registered Nurse | 13401 Dumas Rd Apt A202, Mill Creek, WA 98012-5527 | 2019-05-04 |
| 1831669878 | Lin Eilmes | Registered Nurse | 312 W Brita Ave, Spokane, WA 99208-6112 | 2018-12-03 |
| 1154891620 | Valentina Krasteva Rivera | Registered Nurse | 2220 Enchanted Forest Rd, Eastsound, WA 98245-9305 | 2018-11-27 |
| 1427539949 | Jessica Roberts Calhoun | Registered Nurse | Mcclure Middle School, 1915 1st Ave W, Seattle, WA 98119 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | PORT ANGELES |
| Zip Code | 98362 |
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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.