DR. JENNIFER KATHLEEN CONNOR-SMITH (NPI# 1699077966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699077966 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER KATHLEEN CONNOR-SMITH |
| Credential | PHD |
| Practice Address |
5331 Sw Macadam Ave Suite 363 Portland OR 97239-6104 |
| Practice Telephone | 9713383481 |
| Practice Fax Number | 9712854510 |
| Mailing Telephone | 9713383481 |
| Mailing Fax Number | 9712854510 |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1496 | OR | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1496 | OR | Behavioral Health & Social Service Providers |
| Street Address |
5331 SW MACADAM AVE SUITE 363 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629050406 | Kelly Osmont | Social Worker | 5331 Sw Macadam Ave, Suite 397, Portland, OR 97239-6104 | 2005-11-16 |
| 1710424338 | Good Point Acupuncture, LLC | Acupuncturist | 5331 Sw Macadam Ave, Ste 380, Portland, OR 97239 | 2017-01-20 |
| 1871952937 | Jason Wysocki | Naturopath | 5331 Sw Macadam Ave, Suite 380, Portland, OR 97239-6104 | 2016-02-17 |
| 1528435385 | Raleigh Warren | Chiropractor | 5331 Sw Macadam Ave, Suite 307, Portland, OR 97239-6104 | 2015-08-27 |
| 1134513286 | Corpo Sano Nutrition LLC | Nutritionist | 5331 Sw Macadam Ave, Suite 380, Portland, OR 97239-6104 | 2015-03-26 |
| 1861815318 | Alexander Kahn | Acupuncturist | 5331 Sw Macadam Ave, Ste. 380, Portland, OR 97239-6104 | 2014-02-03 |
| 1295161560 | Teryl Jan Clendenin | Nurse Practitioner | 5331 Sw Macadam Ave, Suite 209, Portland, OR 97239 | 2013-09-18 |
| 1124395546 | 8 Hearts LLC | Naturopath | 5331 Sw Macadam Ave, Suite 285, Portland, OR 97239-6104 | 2011-11-30 |
| 1811287543 | Crosscurrent, Inc. | Prosthetic/Orthotic Supplier | 5331 Sw Macadam Ave, Ste 216, Portland, OR 97239-6104 | 2011-04-14 |
| 1467772178 | Jennifer Marie Bivens | Massage Therapist | 5331 Sw Macadam Ave, Suite 105, Portland, OR 97239-6104 | 2010-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530643 | Positive Development for Youth and Families, Inc. | Psychologist | 4531 Se Belmont St Ste 110, Portland, OR 97215-1675 | 2020-02-21 |
| 1902440704 | Alicia Hoffman | Psychologist | 1577 Congress St Ste 2, Portland, ME 04102-2169 | 2019-11-05 |
| 1467819631 | Megan Nichols | Psychologist | 2734 Se 29th Ave, Apt B, Portland, OR 97202-1381 | 2016-01-19 |
| 1891043360 | Margaret Arnold Stoeckel | Psychologist | 5041 Se Taylor St, Portland, OR 97215-2624 | 2012-08-15 |
| 1851532139 | Charlene Eickholt | Psychologist | 1405 Ne Broadway, Suite # 200, Portland, OR 97232-1497 | 2009-03-16 |
| 1215081716 | Holly Linn Crossen | Psychologist | 1130 Sw Morrison St Ste 618, Portland, OR 97205-2217 | 2007-01-22 |
| 1972654697 | Nicholas John Ure | Psychologist | 101 Se 12th Ave, Portland, OR 97214-1319 | 2007-01-16 |
| 1528134772 | Marianne Michelle Kabour | Psychologist | 2801 N Gantenbein Ave Fl 3, Portland, OR 97227-1623 | 2006-11-28 |
| 1578588539 | Shirley May Hanson | Psychologist | 7912 Sw 35th Ave, Suite 6, Portland, OR 97219-2427 | 2006-07-12 |
| 1518904457 | Redmond Andrew Reams | Psychologist | 2106 Ne 40th Ave, Portland, OR 97212-5405 | 2006-05-31 |
| 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.