JANIE DONALDA GRIFFIN (NPI# 1164632048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164632048 |
| Entity Type | Individual |
| Full Name | JANIE DONALDA GRIFFIN |
| Credential | CPNP |
| Practice Address |
2150 Ne Division St Ste 103 Gresham OR 97030-5813 |
| Practice Telephone | 5036614200 |
| Practice Fax Number | 5036665066 |
| Mailing Telephone | 5036614200 |
| Mailing Fax Number | 5036665066 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 209635 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740430883 | Janie Griffin | Counselor | 1371 Highway 278 W, Monticello, AR 71655-9663 | 2008-09-25 |
| Street Address |
2150 NE DIVISION ST STE 103 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-5813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548259252 | John H Frick Dmd PC | Dentist | 2150 Ne Division St, #210, Gresham, OR 97030-5813 | 2005-10-14 |
| 1760636005 | Gresham Optical, Inc | Eyewear Supplier (Equipment, not the service) | 2150 Ne Division St, Suite 101, Gresham, OR 97030-5813 | 2008-11-13 |
| 1285887786 | Gabriela Aranda | Dentist | 2150 Ne Division St, Suite 203, Gresham, OR 97030-5813 | 2008-10-28 |
| 1396947065 | Susan Ruth Sagawa | Nurse Practitioner | 2150 Ne Division St, Ste 103, Gresham, OR 97030-5813 | 2007-06-04 |
| 1831309830 | Amy Marie Young | Nurse Practitioner | 2150 Ne Division St, Ste 103, Gresham, OR 97030-5813 | 2007-05-22 |
| 1417008517 | June Kwan Wu | Pediatrics | 2150 Ne Division St, Suite 103, Gresham, OR 97030-5813 | 2007-01-15 |
| 1598816605 | Gregory David Emmerich | Pediatrics | 2150 Ne Division St, Suite103, Gresham, OR 97030-5813 | 2007-01-15 |
| 1699733758 | Greg Brophy | Optometrist | 2150 Ne Division St, Suite 101, Gresham, OR 97030-5813 | 2006-05-01 |
| 1871569020 | B. Edward Yanke | Obstetrics & Gynecology | 2150 Ne Division St, Ste 202, Gresham, OR 97030-5813 | 2006-02-27 |
| 1457323495 | Catherine B Saul | Optometrist | 2150 Ne Division St, Suite 101, Gresham, OR 97030-5813 | 2006-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831309830 | Amy Marie Young | Nurse Practitioner | 2150 Ne Division St, Ste 103, Gresham, OR 97030-5813 | 2007-05-22 |
| 1043330343 | Vivian B Vargo | Nurse Practitioner | 600 Ne 8th St, Gresham, OR 97030-7317 | 2007-03-30 |
| 1326056847 | Jennifer E. Bevacqua | Nurse Practitioner | 600 Ne 8th St, Gresham, OR 97030-7317 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197705 | Kelsey-jo Audrey Moss | Nurse Practitioner | 704b Ne 62nd Ave, Portland, OR 97213-4351 | 2019-10-30 |
| 1295273399 | Shaudine Woody | Nurse Practitioner | 11790 Sw Barnes Rd Ste 140, Portland, OR 97225-5938 | 2017-02-08 |
| 1457707390 | Sarah Halstead | Nurse Practitioner | 2421 Washburn Way, Klamath Falls, OR 97603-4525 | 2016-05-10 |
| 1164829578 | Debdeep Nath | Nurse Practitioner | 12225 Sw 2nd St Ste 150, Beaverton, OR 97005 | 2014-12-01 |
| 1003239120 | Iva Juric | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239-3011 | 2014-01-24 |
| 1912339896 | Gabrielle Marie Petersen | Nurse Practitioner | 1713 Penn Ln, Oregon City, OR 97045-1528 | 2013-08-02 |
| 1811249592 | Pollee Hruby Brookings | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw7, Portland, OR 97239-3098 | 2012-10-05 |
| 1033470646 | Chelsea Doherty | Nurse Practitioner | 14480 Sw 90th Ave, Portland, OR 97224 | 2012-05-31 |
| 1972814440 | Alicia Marie Mcintire | Nurse Practitioner | 995 Willagillespie Rd # 100, Eugene, OR 97401-2186 | 2010-06-29 |
| 1255662953 | Elizabeth T Millan | Nurse Practitioner | 2150 Ne Daggett Ln, Bend, OR 97701-6560 | 2010-01-19 |
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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.