LAURA ELIZABETH JACKSON (NPI# 1780206060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780206060 |
| Entity Type | Individual |
| Full Name | LAURA ELIZABETH JACKSON |
| Practice Address |
2730 S Moody Ave Portland OR 97201 |
| Mailing Address |
2730 South Moody Ave Portland OR 97201-5042 |
| Practice Telephone | 5034943633 |
| Enumeration Date | 2020-05-10 |
| Last Update Date | 2020-05-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
|---|---|---|---|---|
| 1497208987 | Laura Permelia Jackson | Specialist/Technologist | 3300 Airport Road, Southern Pines, NC 28387 | 2016-08-01 |
| 1487949400 | Laura Elizabeth Evans Jackson | Pediatrics | 4401 Penn Avenue, Aob, Suite 5400, Pittsburgh, PA 15224 | 2011-06-17 |
| 1821278177 | Laura Louise Jackson | Pharmacist | 10 Jason Ln, Wheelersburg, OH 45694-8463 | 2007-11-04 |
| 1447724604 | Laura Jackson | Case Manager/Care Coordinator | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2019-01-21 |
| 1619461886 | Laura Beth Jackson | Behavior Technician | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2018-06-20 |
| 1457844110 | Laura M Jackson | Speech-Language Pathologist | 7090 Covenant Woods Dr, Mechanicsville, VA 23111-7025 | 2018-06-07 |
| 1902319692 | Laura Elizabeth Jackson | Speech-Language Pathologist | 6502 Slide Rd Ste 204, Lubbock, TX 79424-1311 | 2017-11-16 |
| 1639699465 | Laura Ashlyn Broome Jackson | Pharmacist | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2017-06-22 |
| 1013443589 | Laura L Jackson | Nurse Practitioner | 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 | 2017-05-03 |
| 1134677057 | Laura Jackson | Counselor | 900 Hendersonville Rd, Suite 300, Asheville, NC 28803-1734 | 2016-09-20 |
| Street Address |
2730 S MOODY AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266201 | David Quinlin Cornwell | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2020-08-21 |
| 1710599246 | Jacob Kleiman | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2020-08-17 |
| 1477162915 | Curtis Wang | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2020-07-30 |
| 1053939934 | Aaron G Compton | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2020-07-08 |
| 1427672955 | Elizabeth Olson | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2020-06-01 |
| 1073137584 | Andrew Han | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2020-06-01 |
| 1184246704 | Victor Collazo Vidales Jr. | Student in an Organized Health Care Education/Training Program | 2730 S Moody Ave, Portland, OR 97201-5042 | 2020-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659063 | Amanpreet Kaur | Student in an Organized Health Care Education/Training Program | Ohsu Physician Assistant Program, 2730 South Moody Ave. Mail Code: Cl5pa, Portland, OR 97201 | 2020-05-04 |
| 1063033801 | Aaron Kinn | Student in an Organized Health Care Education/Training Program | Ohsu Division of Physician Assistant Education - Cl5pa, 2730 Sw Moody Avenue, Portland, OR 97201 | 2020-05-04 |
| 1487275442 | Erin Aleen Ostlie-madden | Student in an Organized Health Care Education/Training Program | 2730 South Moody Ave, Portland, OR 97201 | 2020-04-30 |
| 1104446681 | Skycloud Psychiatry LLC | Nurse Practitioner | 106 South West Woods St, Portland, OR 97201 | 2020-04-24 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1780172619 | Susan Elizabeth Christian Barrios | Social Worker | 1505 Sw College St, Portland, OR 97201 | 2018-04-26 |
| 1730696576 | Fiona Everett | Counselor | 1703 Sw Clay St, Portland, OR 97201 | 2018-01-02 |
| 1437678844 | Akira Thomas Neilsen | Student in an Organized Health Care Education/Training Program | 1930 Sw River Drive, Unit 102, Portland, OR 97201 | 2017-09-18 |
| 1285171736 | Howard Mitchell | Technician, Other | 1110 Sw Clay Street Apt. 34, Portland, OR 97201 | 2017-01-23 |
| 1316496011 | Chau Huynh | Student in an Organized Health Care Education/Training Program | 2730 Sw Moody Ave Cl5pa, Ohsu Pa Program, Portland, OR 97201 | 2016-09-23 |
| Find all providers in zip 97201 | ||||
| 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 |
| 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.