SALLY ANN ROBERTS


Address: 1698 E Mcandrews Rd Ste 160, Medford, OR 97504-5590
Phone: 5417327874

SALLY ANN ROBERTS (NPI# 1851884837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851884837
Entity Type Individual
Full Name SALLY ANN ROBERTS
Practice Address 1698 E Mcandrews Rd Ste 160
Medford
OR 97504-5590
Mailing Address Po Box 3158
Portland
OR 97208-3158
Practice Telephone 5417327874
Mailing Telephone 5417327874
Enumeration Date 2018-06-13
Last Update Date 2020-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers SALLY ROBERTS

NPI Name Taxonomy Address Enumeration
1326480906 Sally M Roberts Student in an Organized Health Care Education/Training Program 1143 Talbot Ave, Albany, CA 94706-2333 2013-07-23
1497887269 Sally Ann Roberts Social Worker 401 Paris Ave, Rockford, IL 61107-4440 2007-03-09
1932314036 Sally Roberts Anesthesiology 160 N Midland Ave, Nyack Hospital, Nyack, NY 10960-1912 2007-05-11

Office Location

Street Address 1698 E MCANDREWS RD STE 160
City MEDFORD
State OR
Zip Code 97504-5590

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477593713 Juan C Vasquez Surgery 1698 E Mcandrews Rd Ste 160, Medford, OR 97504-5590 2006-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225673833 Lydia D Sneed Behavioral Analyst 3707 Citation Way, Suite 102, Medford, OR 97504 2019-11-07
1114577368 Heather Ashley Fronek Nurse Practitioner 2825 E. Barnett Rd., Medford, OR 97504 2019-09-18
1255809109 Justin Blasdel Technician, Health Information 3250 Lone Pine Rd, Medford, OR 97504 2018-11-08
1396220133 Aimee K Michel Massage Therapist 3550 National Dr., Medford, OR 97504 2018-09-27
1437646908 Zola Dental Medford LLC Dentist 922 E Main, Medford, OR 97504 2018-04-19
1376068015 Megan Leggett Counselor 777 Murphy Road, Medford, OR 97504 2017-08-03
1023547536 Joshua Morgan Rice Dentist 1117 E Main St Ste 1, Medford, OR 97504 2017-06-08
1427580232 Paul James Dean Counselor 1175 Main St Ste 1c, Medford, OR 97504 2017-03-30
1811443542 Taya Adams Doula 1201 Progress Dr #90, Medford, OR 97504 2016-09-01
1174076228 Avalon Health Care - Hearthstone, LLC Skilled Nursing Facility 2091 E. Barnett Road, Medford, OR 97504 2016-07-25
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821696261 Julia Elizabeth Erskine Student in an Organized Health Care Education/Training Program 119 Boston Ave Apt 1, Medford, MA 02155-3570 2020-10-16
1720695695 Elizabeth Moynihan Student in an Organized Health Care Education/Training Program 9 Marion St, Medford, MA 02155-6219 2020-09-25
1043820764 Shane L Totten Student in an Organized Health Care Education/Training Program 19 Hamilton St, Medford, MA 02155-4207 2020-08-06
1649810136 Kelly Alaina Walsh Student in an Organized Health Care Education/Training Program 289 Elm St Apt 62c, Medford, MA 02155-1068 2020-01-13
1487150785 Sara Krivan Student in an Organized Health Care Education/Training Program 205 Jamaica Ave, Medford, NY 11763-3239 2018-04-04
1508316829 Sierra Ruth Fuller Student in an Organized Health Care Education/Training Program 345 Salem St, Medford, MA 02155-3308 2016-10-11
1447605159 Andrew Allen Fryer Student in an Organized Health Care Education/Training Program 32 Nottingham Dr, Medford, NJ 08055-8533 2016-05-01
1376959411 Parham Shahkar Student in an Organized Health Care Education/Training Program 3920 Mystic Valley Pkwy Apt 1121, Medford, MA 02155-6911 2014-07-09
1669895181 Louise Haddock Student in an Organized Health Care Education/Training Program 12 Hadley Pl, #2, Medford, MA 02155-3905 2014-02-04
1275964256 Steven Matta Student in an Organized Health Care Education/Training Program 100 Station Lndg Unit 405, Medford, MA 02155-5179 2013-12-02
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 97504

Improve Information

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Dataset Information

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.

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