JESSICA LYNN BLODGETT (NPI# 1114537917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114537917 |
Entity Type | Individual |
Full Name | JESSICA LYNN BLODGETT |
Practice Address |
2507 Christie Drive Lake Oswego OR 97225 |
Mailing Address |
10942 Sw Celeste Ln Apt 205 Portland OR 97225-7116 |
Practice Telephone | 5036353416 |
Mailing Telephone | 6418314538 |
Enumeration Date | 2020-08-06 |
Last Update Date | 2020-08-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780158170 | Jessica Louise Blodgett | Counselor | 4576 W Walton Blvd, Waterford, MI 48329-4905 | 2019-01-18 |
Street Address |
2507 CHRISTIE DRIVE |
City | LAKE OSWEGO |
State | OR |
Zip Code | 97225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235277807 | Kandi Denise Shearer | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2007-02-03 |
1376141622 | Graciela Salamanca | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-10-09 |
1710597489 | Adrian Bernard Echols | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-08-06 |
1205446002 | Ada Allaire | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-08-06 |
1740808278 | Issa Liley Ubidia-luckett | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-07-10 |
1477178911 | Larissa Harper | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-06-10 |
1922633262 | Novah L Ali-el | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-03-06 |
1831724178 | Devon Martinez | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2020-03-06 |
1144867110 | Jenna Hadeed | Counselor | 2507 Christie Drive, Lake Oswego, OR 97035 | 2019-12-09 |
1780221754 | Shay Lee Houston | Counselor | 2507 Christie Drive, Lake Oswego, OR 97034 | 2019-12-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
Find all providers in zip 97225 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457978819 | Holly D Altson | Counselor | 4925 Parkview Dr Apt B, Lake Oswego, OR 97035-2441 | 2020-07-01 |
1033748306 | Svetlana V Poroshina | Counselor | 5225 Jean Rd Apt 505, Lake Oswego, OR 97035-7155 | 2020-04-07 |
1730712688 | Nicole Kammerlocher | Counselor | 14523 Westlake Dr Ste 17, Lake Oswego, OR 97035-7700 | 2020-02-19 |
1679054423 | Holly Shumway Counseling | Counselor | 15100 Boones Ferry Rd Ste 850, Lake Oswego, OR 97035-3467 | 2018-08-28 |
1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
1396245858 | Apricity Counseling & Consultation, LLC | Counselor | 630 B Ave Ste 9, Lake Oswego, OR 97034-2958 | 2018-02-20 |
1851824890 | Amber Johnson Babar | Counselor | Centria Healthcare C/o Teirnie Hemelstrand, 5 Centerpoint Drive, Suite 400, Lake Oswego, OR 97035-8601 | 2017-04-06 |
1386098911 | Janice Johnson | Counselor | 40 Mcnary Pkwy, Lake Oswego, OR 97035-1214 | 2016-04-20 |
1174993117 | Cara Hart | Counselor | 5005 Meadows Rd Ste 405, Lake Oswego, OR 97035-4291 | 2015-10-02 |
1790109064 | Kathryn Sporing | Counselor | 14523 Westlake Dr # 19, Lake Oswego, OR 97035-7700 | 2014-02-07 |
Find all providers in LAKE OSWEGO |
City | LAKE OSWEGO |
Zip Code | 97225 |
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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.