PENELOPE LYNNE JONES (NPI# 1770121188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770121188 |
| Entity Type | Individual |
| Full Name | PENELOPE LYNNE JONES |
| Practice Address |
209 Sw 4th Ave Ste 520 Portland OR 97204-1825 |
| Practice Telephone | 5039885464 |
| Practice Fax Number | 5039884015 |
| Mailing Telephone | 5039885464 |
| Mailing Fax Number | 5039884015 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477925139 | Penelope Jones | Physical Therapy Assistant | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2015-10-21 |
| 1003029976 | Penelope Jones | Physical Therapist | 1135 W University Dr, Suite 450, Rochester, MI 48307-1871 | 2007-05-08 |
| Street Address |
209 SW 4TH AVE STE 520 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538237904 | Multnomah County | Clinic/Center | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1813 | 2006-12-01 |
| 1013541911 | Anders Amadeus Kass | Peer Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2020-02-28 |
| 1376190140 | Bruce Michael Spilde | Social Worker | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-08-26 |
| 1518526961 | Amanda Kubisch | Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-06-10 |
| 1275097552 | Dekaira D Smith | Peer Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2019-01-30 |
| 1417435488 | Noura Al-khadher | Case Manager/Care Coordinator | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2018-08-01 |
| 1669903944 | Glenda Quezada | Case Manager/Care Coordinator | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2017-03-27 |
| 1720419054 | Multnomah County | Community/Behavioral Health | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1813 | 2013-12-12 |
| 1538427257 | Braunwynn Franklin | Peer Specialist | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2012-05-01 |
| 1285992628 | Rachael Alexis Jackson | Case Manager/Care Coordinator | 209 Sw 4th Ave Ste 520, Portland, OR 97204-1825 | 2012-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536602 | Dario J Lapoma | Student in an Organized Health Care Education/Training Program | 1305 Se Birch St, Portland, OR 97214-5335 | 2020-10-18 |
| 1740888155 | Charles Samuel Goldfoot | Student in an Organized Health Care Education/Training Program | 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 | 2020-10-16 |
| 1396343992 | Shelby Taylor Bowerly | Student in an Organized Health Care Education/Training Program | 4522 Ne Ainsworth St, Portland, OR 97218-1322 | 2020-10-15 |
| 1821696816 | Nancy Sierra Ferrer | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 | 2020-10-13 |
| 1437757663 | David Gallacher | Student in an Organized Health Care Education/Training Program | 3303 S Bond Ave # 1, Portland, OR 97239-4501 | 2020-10-10 |
| 1366049777 | Carolyn Evans | Student in an Organized Health Care Education/Training Program | 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 | 2020-10-08 |
| 1669081659 | Amy Hill | Student in an Organized Health Care Education/Training Program | 3931 N Juneau St Apt 7, Portland, OR 97217-7419 | 2020-07-27 |
| 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 |
| 1558986364 | Haley Bosco Doyle | Student in an Organized Health Care Education/Training Program | 3587 Se Grant St, Portland, OR 97214-5829 | 2020-06-08 |
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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.