DR. JORDAN AMBROSE (NPI# 1063805513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063805513 |
| Entity Type | Individual |
| Full Name | DR. JORDAN AMBROSE |
| Credential | D.C. |
| Practice Address |
953 Caroline Way E Monmouth OR 97361-1202 |
| Practice Telephone | 5034700072 |
| Mailing Telephone | 5034700072 |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5161 | OR | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982951760 | Jordan Anderson Ambrose | Pharmacist | 820 S Damen Ave, Chicago, IL 60612-3728 | 2012-08-10 |
| Street Address |
953 CAROLINE WAY E |
| City | MONMOUTH |
| State | OR |
| Zip Code | 97361-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512320 | Wesley Stoecker | Physical Therapist | 512 Main St., Suite 300, Monmouth, OR 97361 | 2020-06-10 |
| 1699050492 | Joshua Fitzgerald Sandeman | Nurse Practitioner | 180 Atwater St N Ofc, Monmouth, OR 97361 | 2011-10-13 |
| 1649487927 | Kimberli Ann Wicks Freilinger | Counselor | 1458 Meadowglen Ct., Monmouth, OR 97361 | 2007-05-17 |
| 1811091044 | Thomas T Mesdag | Podiatrist | 343 E Main St, Monmouth, OR 97361 | 2006-09-08 |
| 1083718357 | Michelle L Hasbrook | Dentist | 120 N. Atwater St., Monmouth, OR 97361 | 2006-09-08 |
| 1417239997 | Life Dream Now | Community/Behavioral Health | 235 Gentle Ave E, Monmouth, OR 97361-1108 | 2011-09-12 |
| 1407027584 | Lisa Rochelle Roe | Massage Therapist | 110 Monmouth Ave N Lowr Level, Monmouth, OR 97361-1327 | 2008-03-18 |
| 1265458905 | Christopher Mccarthy Silva | Nurse Practitioner | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2006-07-14 |
| 1003440827 | Bo Johnson | Specialist/Technologist | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2020-03-02 |
| 1255810107 | Scott Perfect | Counselor | 345 Monmouth Ave N, Monmouth, OR 97361-1329 | 2018-08-11 |
| Find all providers in zip 97361 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669861605 | Natasha Ruegsegger | Chiropractor | 494 Whitman St S, Monmouth, OR 97361-2039 | 2015-01-14 |
| 1386911915 | Bryan Keith Bittner | Chiropractor | 512 N Main St, Monmouth, IL 61462-1265 | 2011-11-28 |
| 1639352057 | David W. Varney, Dc, Pa | Chiropractor | 6 Blue Rd, Monmouth, ME 04259-6901 | 2007-12-07 |
| 1922117118 | Brian J Joynt | Chiropractor | 629 Clay St E, Monmouth, OR 97361-2402 | 2006-08-30 |
| 1275649485 | Alan E Phillips | Chiropractor | 312 E Archer Ave, Monmouth, IL 61462-1837 | 2006-08-21 |
| 1427081157 | Melissa Dawn Boney-wegmann | Chiropractor | 309 South Main St, Monmouth, IL 61462-2111 | 2006-07-08 |
| 1023671575 | Allie Christine Phillips | Chiropractor | 312 E Archer Ave, Monmouth, IL 61462-1837 | 2019-04-19 |
| 1952738908 | Guardian Chiropractic, LLC | Chiropractor | 6 Blue Rd, Monmouth, ME 04259-6901 | 2013-10-07 |
| 1063850386 | Amanda M Angell | Chiropractor | 6 Blue Rd, Monmouth, ME 04259-6901 | 2013-06-09 |
| 1013128768 | Alan E. Phillips | Chiropractor | 312 E Archer Ave, Monmouth, IL 61462-1837 | 2007-05-24 |
| Find all providers in MONMOUTH | ||||
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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.