JACQUELINE MARIE (NPI# 1629311865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629311865 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARIE |
| Credential | LMT |
| Practice Address |
5408 Se 111th Ave Portland OR 97266-4148 |
| Practice Telephone | 5038038352 |
| Mailing Telephone | 5038038352 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2013-04-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | 3453 | OR | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5408 SE 111TH AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97266-4148 |
| 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 | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174025779 | Ghayda Aboasha | Technician, Other | 4949 Sw Macadam Ave # 30, Portland, OR 97239-3912 | 2018-02-28 |
| 1215439807 | Christopher Allen Lane | Technician, Other | 4949 Sw Macadam Ave Ste 30, Portland, OR 97239-3912 | 2018-02-28 |
| 1932617149 | Haley Ann Moore | Technician, Other | 4949 Sw Macadam Ave, Portland, OR 97239-3912 | 2018-01-22 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| 1306391651 | Andy Jay Caoile | Technician, Other | 809 Ne 151st Ave, Portland, OR 97230-4712 | 2016-08-16 |
| 1518312032 | Brenda Hiemstra | Technician, Other | 120 Bethel Dr, Portland, MI 48875-1104 | 2016-05-03 |
| 1649624719 | Janna Norberg | Technician, Other | 3237 Ne 79th Ave, Portland, OR 97213-6527 | 2016-04-14 |
| 1669847729 | Heidi Schmidt | Technician, Other | 2717 Ne Broadway St, Portland, OR 97232-1722 | 2015-12-01 |
| 1720377971 | Physician Directed Services, Inc. | Technician, Other | 3030 Sw 10th Ave Apt 20, Portland, OR 97239-3085 | 2011-03-28 |
| 1528213618 | Virginia Adelaide Simonin | Technician, Other | 4265 Se 116th Ave, Portland, OR 97266-2109 | 2008-11-17 |
| 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.