MISS JENNIFER L HOLLAND (NPI# 1073533451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073533451 |
| Entity Type | Individual |
| Full Name | MISS JENNIFER L HOLLAND |
| Credential | L.M.T. |
| Practice Address |
4004 Sw Kelly Ave Ste 100 Portland OR 97239-4389 |
| Practice Telephone | 5035955407 |
| Practice Fax Number | 5035955408 |
| Mailing Telephone | 5035955407 |
| Mailing Fax Number | 5035955408 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 7866 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168514 | Jennifer M Holland | Technician | 2707 Bud Diamond Rd, Jay, FL 32565-4846 | 2019-01-28 |
| 1568694388 | Jennifer Thomson Holland | Audiologist | 940 Clear Lake City Blvd, Webster, TX 77598-6606 | 2009-08-12 |
| 1912190935 | Jennifer Holland | Speech-Language Pathologist | 4500 Bissonnet Suite 340, Bellaire, TX 77401 | 2007-08-22 |
| 1366573495 | Jennifer Clare Holland | Social Worker | 3615 Wenonah Ave, Berwyn, IL 60402-3343 | 2007-03-08 |
| 1437226032 | Jennifer May Holland | Physical Therapist | 99 Montecillo Rd # Mob2, San Rafael, CA 94903-3308 | 2006-11-29 |
| 1316972284 | Jennifer Lewis Holland | Physical Therapist | 2205 Oak Ridge Rd (oak Ridge Physical Therapy), Suite Ff, Oak Ridge, NC 27310 | 2006-07-11 |
| 1508301128 | Jennifer Holland | Midwife | 605 Union St Ne, Salem, OR 97301 | 2017-01-05 |
| 1649645532 | Jennifer Holland | Registered Nurse | 402 Osigian Blvd, Ste 400, Warner Robins, GA 31088-8988 | 2015-12-03 |
| 1548512130 | Jennifer Holland | Physical Therapy Assistant | 5050b Village Square Dr, Paducah, KY 42001-9499 | 2012-10-08 |
| 1942567169 | Jennifer Holland | Counselor | 331 Shaw Ave, Mckeesport, PA 15132-2918 | 2012-04-12 |
| Street Address |
4004 SW KELLY AVE STE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239-4389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174013940 | Shelby L Seymour | Massage Therapist | 4004 Sw Kelly Ave Ste 100, Portland, OR 97239-4389 | 2018-05-16 |
| 1770964595 | Rhonda Isakson | Massage Therapist | 4004 Sw Kelly Ave Ste 100, Portland, OR 97239-4389 | 2015-06-17 |
| 1477729762 | Donna Julia Langford | Specialist | 4004 Sw Kelly Ave Ste 100, Portland, OR 97239-4389 | 2008-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536560 | Irina A Mcgaughey | Specialist | 610 Sw Alder St Ste 920, Portland, OR 97205-3610 | 2020-10-19 |
| 1780294181 | Cynthia R Mendoza | Specialist | 2245 Se Powell Blvd, Portland, OR 97202-2143 | 2020-07-31 |
| 1679199335 | Alter Image, Inc. | Specialist | 2340 Se Gladstone St, Portland, OR 97202-2962 | 2020-06-18 |
| 1770044281 | Donnissa Smith | Specialist | 117 Se 129th Ave, Portland, OR 97233-1503 | 2019-03-27 |
| 1588191258 | Jason Moore | Specialist | 522 Ne Thompson St, Portland, OR 97212-3843 | 2017-05-12 |
| 1578097218 | Alicia N Keys | Specialist | 10480 Sw Eastridge St Apt 88, Portland, OR 97225-5047 | 2017-04-19 |
| 1942734736 | Mom By Lj | Specialist | 2906 N Willamette Blvd, Portland, OR 97217-4073 | 2017-04-18 |
| 1659811198 | Ricardo H. Medina | Specialist | 1400 Nw Irving St Apt 709, Portland, OR 97209-2260 | 2017-03-02 |
| 1730626805 | Jennifer Frank | Specialist | 1008 Se 112th Ave, Portland, OR 97216-3516 | 2017-01-26 |
| 1720523012 | Andrea Lett | Specialist | 4627 Ne 30th Ave, Portland, OR 97211-7001 | 2016-12-22 |
| 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.