MS. JESSICA ANN PETERSON (NPI# 1609211820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609211820 |
| Entity Type | Individual |
| Full Name | MS. JESSICA ANN PETERSON |
| Credential | L.AC. |
| Practice Address |
11804 Se Sunnyside Rd Clackamas OR 97015-9308 |
| Practice Telephone | 5034540782 |
| Mailing Telephone | 5034540782 |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 158023 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720581952 | Jessica Ann Peterson | Chiropractor | 1305 E College Dr Ste B, Marshall, MN 56258-2073 | 2018-03-14 |
| 1801399431 | Jessica Lynn Peterson | Psychologist | Chdd 1701 Ne Columbia Rd Seattle Wa 98195, Seattle, WA 98195-0001 | 2018-03-09 |
| 1669901260 | Jessica Peterson | Social Worker | 1200 W Ironwood Dr Ste 100, Coeur D Alene, ID 83814-2660 | 2017-06-07 |
| 1609265826 | Jessica Peterson | Licensed Practical Nurse | 389 W 29th Ave, Eugene, OR 97405-2726 | 2015-01-12 |
| 1306266903 | Jessica Kristen Peterson | Radiology | 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 | 2014-04-22 |
| 1083043632 | Jessica Peterson | Social Worker | 5228 Cypress Ct, Shelbyville, KY 40065-7764 | 2013-11-04 |
| 1265778476 | Jessica Peterson | Nutritionist | 966 12th St Se Ste 130, Salem, OR 97302-2860 | 2012-12-14 |
| 1780829606 | Jessica Lynn Peterson | Chiropractor | 3476 3rd St Ne, Minneapolis, MN 55418-1111 | 2008-12-05 |
| 1497966238 | Jessica Ann Peterson | Social Worker | 1585 Thomas Center Dr, Ste 104, Eagan, MN 55122-3039 | 2007-05-24 |
| 1073531141 | Jessica Lynn Peterson | Chiropractor | 901 Kentucky St Ste 102, Lawrence, KS 66044-2853 | 2006-07-17 |
| Street Address |
11804 SE SUNNYSIDE RD |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-9308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598912503 | Jennifer Leanne Mchattie | Chiropractor | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2008-08-20 |
| 1023629896 | Toes In The Water Wellness LLC | Chiropractor | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2020-08-13 |
| 1487202131 | Tyler Richard Rose | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2019-08-27 |
| 1871056200 | Amber Nicole Clark | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2019-04-11 |
| 1932642576 | Cody Cantwell | Chiropractor | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2016-11-30 |
| 1548621022 | Destini Chlopek | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2016-03-11 |
| 1528440260 | Jaime Michael | Chiropractor | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2015-06-18 |
| 1801276688 | Empowered Health | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2015-06-05 |
| 1932507480 | Lisa Hoeck | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2014-12-16 |
| 1518390889 | Jamie Gene Baker | Massage Therapist | 11804 Se Sunnyside Rd, Clackamas, OR 97015-9308 | 2013-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881938256 | Tyler N Andres | Acupuncturist | 8810 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015 | 2012-11-25 |
| 1982658621 | Mychell E Vincent | Acupuncturist | 15480 Se 82nd Dr, Clackamas, OR 97015-9633 | 2006-05-19 |
| 1023555380 | Robert Ryan Love | Acupuncturist | 15661 Se 82nd Drive, Clackamas, OR 97015 | 2017-01-25 |
| 1942651948 | Love Acupuncture | Acupuncturist | 15661 Se 82nd Drive, Clackamas, OR 97015 | 2016-06-30 |
| 1114319175 | Tanya Love | Acupuncturist | 15661 Se 82nd Drive, Clackamas, OR 97015 | 2015-03-02 |
| 1265786636 | Susan Buhler | Acupuncturist | 15645 Se 114th Ave, Suite 102, Clackamas, OR 97015-9047 | 2012-11-06 |
| 1407103914 | Adalissete Garcia | Acupuncturist | 10001 Se Sunnyside Rd, #204, Clackamas, OR 97015-5746 | 2012-08-14 |
| 1760751044 | Gabriel Steven Prewitt | Acupuncturist | 10001 Se Sunnyside Rd Ste 204, Clackamas, OR 97015-9704 | 2011-12-15 |
| 1376822692 | Elements Holistic Wellness | Acupuncturist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2011-08-04 |
| 1265731228 | Emily Kay Weber | Acupuncturist | 15240 Se 82nd Dr, Clackamas, OR 97015-9606 | 2011-03-16 |
| Find all providers in CLACKAMAS | ||||
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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.