JESSICA EVONNE DUMITRU (NPI# 1043409030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043409030 |
Entity Type | Individual |
Full Name | JESSICA EVONNE DUMITRU |
Credential | PA-C |
Practice Address |
421 Se Washington St Hillsboro OR 97123-4140 |
Mailing Address |
1200 Ne 48th Ave Suite 1100 Hillsboro OR 97124-4904 |
Practice Telephone | 5033521141 |
Practice Fax Number | 5033521147 |
Mailing Telephone | 5038448219 |
Mailing Fax Number | 5038448234 |
Enumeration Date | 2007-10-16 |
Last Update Date | 2014-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA01284 | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
421 SE WASHINGTON ST |
City | HILLSBORO |
State | OR |
Zip Code | 97123-4140 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
Find all providers in zip 97123 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730391665 | Jamie Mahoney | Physician Assistant | 2875 Ne Stucki Ave, Hillsboro, OR 97124 | 2007-05-04 |
1316328537 | Tricia Nguyen | Physician Assistant | 35731 Dunthorpe Ln, Hillsboro, VA 20132-5225 | 2015-06-12 |
1538280557 | Valerie K Cashman | Physician Assistant | 333 Se 7th Ave, Suite 4250, Hillsboro, OR 97123-4157 | 2007-04-03 |
1740379874 | Rosalia Ocamica | Physician Assistant | 364 Se 8th Ave, Suite # 200, Hillsboro, OR 97123-4253 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619575008 | Janna Marie Check | Physician Assistant | 3555 Chad Drive, Eugene, OR 97408 | 2020-10-16 |
1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
1801321039 | Devin Fleming | Physician Assistant | 22936 Ne Pike St, Troutdale, OR 97060-2615 | 2017-04-25 |
1710435011 | Alexander Andersen | Physician Assistant | 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 | 2016-09-14 |
1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
1518366863 | Latoya Allen | Physician Assistant | 2450 Highgate St, Unit 12, Medford, OR 97501-7955 | 2014-08-21 |
1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
1699114421 | Lauren M Kendall | Physician Assistant | 960 N 16th St Ste 108, Springfield, OR 97477-4175 | 2013-06-14 |
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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.